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Surgical group is like a football team.

 
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

 

18-SEPTEMBER-2006  SARIYAH MUHAMED RASHEED  46 YEARS  RECURRENT PLD L4-5 RIGHT SIDE.

The patient was operated by me 04-August-2002 for PLD L4-5 right side  and he made good recovery, until 10 days ago got agonizing right sciatica with inability to walk or set down. The patient was advised to perform repeat MRI lumbar spine, which was done 17-September-2006 and showed a huge recurrence at the same level and side.

On examination, he had almost drop right foot and severe right sciatica with hypalgesia right L5 root. The patient was advised to undergo surgery. Through the same incision, right L5 foraminotomy was performed and the root was followed upward and the extruded disc was stuck with the root. Lateral to the axilla the sequestrated disc material was removed and further cleaning of the disc space was performed from the right side.

Prompt postoperative recovery.

Comments:

1.  Since the defect in the annulus fibrosis in the first surgery was wide, the possibility for recurrence was relatively higher than usual. There is a possibility that the intradiscal material with time can give growth and each time when performing meticulous cleaning, a large quantity of disc material come out, holding the possibility of such speculation.


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