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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

 

 

21-NOVEMBER-2006  MAZEN IBRAHEEM AL-MAJDALANY  34 YEARS  HUGE RIGHT L5-S1 DISC EXTRUSION.

The patient came to the clinic 15-November-2006  complaining of right sciatica for 15 days, down to S1 territory with positive cough sign. He came with crutches, limping with scoliotic stance.

On examination: SLRS right side was 5 degrees and 75 in the left. Absent AJ right side. Hypalgesia of right S1 and weak dorsi and planterflexion all toes right foot were noted. MRI performed 16-November-2006 showing huge extrusion L5-S1 right side.

Right L5-S1 hemiflavotomy with foraminotomy of the right S1 root were performed and the extruded disc was removed. The extrusion was actually the destroyed annulus fibrosis, which was hard and severely compressing the root . Minimal cleaning of the disc space was intentionally performed. Fat  transfer to cover the root and routine closure of the wound. Smooth postoperative neurologic recovery.

Comments:

1. The defect in the annulus fibrosis was relatively not small, making the possibility for recurrence higher than others. Time will till.

 

 


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