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Dr. Ali Al-Bayyati and Dr. Munir Elias

 
Most of the site will reflect the ongoing surgical activity of Prof. Munir Elias MD., PhD. with brief slides and weekly activity. For reference to the academic and theoretical part, you are welcome to visit  neurosurgery.tv

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17-OTOBER-2011  ZAKIYEH MUHAMED AL-HALAYQEH  40 YEARS  RECURRENT EXTRUDED DISC L5-S1 WITH LEFT SEVERE ROOT COMPRESSION.

Anamnesis

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The patient came to the clinic 16-October-2011 complaining of LBP with severe agonizing left sciatica for 2 months down to big toe left foot, making her unable to sleep. The patient was operated in Palestine 15-July-2007 for PLD L5-S1 for left sciatica.

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MRI lumbar spine performed 15-October-2011 showing recurrent extruded disc L5-S1 with severe compression of the left S1 root.

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On examination: the patient is limping with exaggerated scoliotic stance with agonizing sciatica, that it was necessary to give her medication to evaluate her neurologic status. SLRS was 40 degrees with pain in the left side. There is almost drop left foot and weak planterflexion left foot 4/5. There is hypalgesia left S1 root.

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The patient was operated at Alhayat General Hospital. The left S1 root was exposed after scarolysis. The extruded disc was removed lateral to the axilla. Cleaning of L5-S1 was performed from the left side.

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Routine closure of the wound.  Smooth postoperative recovery with normalization of the power of left foot.


 

 

 

 

Please! wait for 3-5 min till the video start to load. It depends upon the internet connection.

 

Comments

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The recurrence rate after disc surgery is around 7-15%. Re-recurrence also having place around 7%.

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In this case the estimated postoperative re-recurrence is below 7%, because the disc height is shallow.

 


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Notice: Head injuries and very urgent surgeries are also escaped from the plan .

 

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