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
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20-JULY-2008 ZUHAYER AKRAM AL-HORANY 34 YEARS
EXTRUDED DISC L5-S1 WITH RIGHT UP AND DOWNWARD MIGRATION.
The patient came to the
clinic 14-July-2008 complaining of LBP for
with right sciatica for five days.
On examination: the patient
in agonizing pain with scoliotic stance
with SLRS 30 degrees in the right and 80 degrees
in the left with pain. He had weak dorsi and
planterflexion right foot 3/5 and hypalgesia
right S1 root territory.
lumbar spine which was
performed 12-July-2008 showing PLD L5-S1
with right up and downward migration compressing the
right S1 root.
Right S1 root foraminotomy
with hemiflavotomy of L5-S1 was performed.
The extruded disc was removed lateral to the
axilla in several pieces, after what the root became
lax. The disc space was cleaned lateral to the
axilla from the right.
Routine closure of the wound
and smooth postoperative recovery with
normalization of the power of right foot.
The patient was in agonizing
pain due to severe root compression.
The expected recurrence in
this case is around the average, because the
disc height still not shallow.
The intradiscal material was
looking fragmented. This factor could increase the
expectancy for recurrence.
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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 .