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.fr
A doctor gynecologist for 5 days progressed severe LBP with left sciatica came to the hospital with MRI lumbar spine showing huge PLD L4-5 left side. On examination, SLRS was positive in the right leg, shooting to the left and 10 degrees in the left. Severe weakness of dorsiflexion left foot with hypalgesia of the S1 territory left side. She was in agonizing pain and she was operated 3 hours after admission. A 15 mm incision was done after image-intensifier control. Fenestration after drilling the medial aspect of the left L4-5 facet before violating the ligamentum flavum was done and foraminotomy of left L5 root was performed. The root was severely compressed, for what the hard fragments were pulled down to the disc space and removed. Prompt postoperative recovery off her sciatica and immediate normalization of the power.