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
Inomed Stockert Neuro N50. A versatile
RF lesion generator and stimulator for
countless applications and many uses
Multigen RF lesion generator .
22-NOVEMBER-2008 MUHAMED RASHAD ZAYDAN 75 YEARS
SEVERE LUMBAR CANAL STENOSIS L2-3, L3-4, L4-5 AND L5-S1.
The patient came to the
clinic 22-October-2008 complaining of LBP for 7
years with right sciatica for one month with
numbness all toes right foot. He could not walk
more than 150 meters due to intermittent
claudication with ataxic gait.
MRI lumbar spine performed
19-April-2008 showed lumbar canal stenosis at
On examination: the patient
is limping. There is right sided hypalgesia
below D11 level. Weak dorsiflexion right foot
3/5 and left foot 4/5.
The patient was sent for
investigation: MRI of the brain, cervical,
dorsal and lumbar spine and bone density scan.
06-November-2008 which confirmed the presence of
spinal cord malacia behind D2-3 without
compression. There is severe stenosis at L2-3,
L3-4, L4-5 and L5-S1 levels.
Decompressive laminectomy of
L3-4-5 and partial of L2 and upper sacrum was
achieved. Foraminotomy of L3-4-5 and S1 both
sides was done with more attention to the right
side. The patient during surgery have bleeding
tendency, which made the surgery more difficult
to perform, using during that a lot of bipolar
coagulation monopolar dissection and waxing.
Smooth recovery with prompt
improvement of the power of both feet.
The patient had relatively
massive bleeding during surgery, which required
to pay special attention to all steps of
surgery, using during that all available
techniques for hemostasis. His Hb was more than
13 mg/dL, for what it was not needed to
transfuse blood for him.
The presence of malacia of
the dorsal spinal cord could play a part in his
clinical picture, but the stenosis is a
progressive disease, which needs intervention.
Please! wait for 3-5 min till the
video start to load. It depends upon the internet
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 .