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The group in action.

 
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

 
22-JUNE-2006 AZZAM SHAWQY KHALEEL 43 YEARS HUGE L5-S1 RIGHT SIDED EXTRUSION WITH DOWNWARD MIGRATION.
The patient came came to the clinic 11-June-2006 complaining of right sciatica  for 4 months. MRI done 27-March-2006 showing extruded disc L5-S1 with right downward migration. He claims that, he had partial improvement, but still complaining of dyseasthesia of the right S1 territory.

On examination, the patient was limping and scoliotic stance with SLRS right 80 and left side 75 degrees with pain. He had weak dorsiflexion both feet and planterflexion right foot. The patient was sent for another MRI, which showed a very huge extrusion of the same disc and he was advised to undergo surgery. The patient was admitted by other doctor and traction with several pain-killer cocktails were tried without effect.

Right L5-S1 hemiflavotomy was performed with foraminotomy of the right S1 root. The huge extrusion was removed in one piece lateral to the axilla. Small remnant was removed from under the axilla and partial cleaning of the disc space was performed from the right through the same defect of the annulus fibrosis, through which the extrusion took place.


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