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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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18-FEBRUARY-2012  MABRUKA AHMAD AL-AZHARY  53 YEARS  HUGE CENTRAL EXTRUDED DISC L4-5 WITH SEGMENTAL STENOSIS.

Anamnesis

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The patient came to the clinic 29-January-2012 complaining of LBP, neck pain for 16 years with bilateral sciatica, both knees pain for 2 years, tinnitus left ear and left ophthalmalgia for 2 years. The patient is a known diabetic for 4 years and she underwent discectomy L5-S1 2002 in Tunisia for left sciatica.

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On examination: the patient limping and have exaggerated scoliotic stance. There is no sensory deficit with weak both upper limbs below the biceps muscle 4/5.There is weak dorsi and planterflexion left foot 3/5 and mild weak both quadriceps muscles 4/5.

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The patient was sent for whole neuroradiologic investigations, which done 31-January-2012 and revealed small central extruded disc C4-5 and huge central extruded disc L4-5 with severe segmental stenosis. There was also sinusitis of the left maxilla.

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Decompressive laminectomy of L4 and partial of L5. Bilateral flavotomy L4-5 with bilateral L5 root foraminotomy. The extruded disc was removed from both sides. Bilateral cleaning of L4-5 disc space.

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Routine closure of the wound. Smooth postoperative recovery with normalization of the power of both feet.


 

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

Comments

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The patient still have estimated postoperative recurrence rate around 7%, because the disc space still not shallow.


 

 

 

 

 


Back Up!

Notice: Not all operative activities can be recorded due to lack of time.
Notice: Head injuries and very urgent surgeries are also escaped from the plan .

 

 

 

 

 

 

 

 

 

 

 

 

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