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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

 

 

19-NOVEMBER-2006  TAWFEEQ IZZAT HUSSEIN  40 YEARS  HUGE EXTRUDED DISC L4-5 WITH RIGHT MIDEOLATERAL  LOCALIZATION.

The patient came to the clinic 15-November-2006 complaining of LBP for 2 years with left sciatica. MRI lumbar spine performed 11-September-2004 showed PLD L4-5 with dehydration of L5-S1.  Exacerbation of LBP the last 4 months with severe right sciatica. MRI done 04-November-2006 showed huge extrusion of L4-5 with right mideolateral localization.

On examination: the patient walking with aid and had exaggerated scoliotic stance  with SLRS 0 degree in the right  and absent AJ, hypalgesia right L5 territory and weak dorsi (3/5) and planter (4/5) flexion right foot. Right L4-5 hemiflavotomy with right L5 root foraminotomy was performed and the huge extruded disc L4-5  was removed in one piece lateral to the axilla. Minimal cleaning of the disc space from the right side. Fat transfer to cover the right L5 root. Routine closure. Prompt postoperative recovery.

Comments:

1. Expectation for recurrence ranking in the middle, that is because the disc space still relatively high and the defect in the annulus fibrosis is relatively, not small.

 

 


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