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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

 

17-SEPTEMBER-2006  ATIYEH MUHAMED AWWAD  55 YEARS  RIGHT FRESH UPON OLD LEFT EXTRUSION L5-S1 DISC.

The patient came to the clinic 13-September-2006 complaining of LBP for 15 years with intermittent left sciatica. The last 2 months progressed right sciatica. The patient claim, that he is improving, but in the clinical examination, he had weak dorsiflexion both feet and SLRS was 70 degrees in the left with exaggerated scoliotic stance. The AJ was absent in the left side.

MRI lumbar spine was performed 13-September-2006 which showed the old left sided extrusion L5-S1 with fresh extrusion in the right side.

Bilateral L5-S1 flavotomy with foraminotomy both S1 roots was done.  The fresh extrusion was removed lateral to the right axilla . The left extrusion was bony hard with the disc space very narrow. It was decided to drill out some of the osteophytes, which could irritate the running above both roots. Routine closure with prompt postoperative recovery.

Comments:

1. The recurrence in this case must be minimal, if not zero, because the disc space is completely absent and there is no intradiscal material to cause recurrence.


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[2006] [CNS CLINIC - NEUROSURGERY - JORDAN]. All rights reserved