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Dr. Ali Al-Bayati

 
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

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Multigen RF lesion generator .

23-JULY-2011  RASHED SAMI KHLEFAT  19 YEARS  HUGE EXTRUDED DISC L4-5 WITH LEFT DOWNWARD MIGRATION.

Anamnesis

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The patient came to the clinic 18-July-2011 complaining of LBP for 5 months with left sciatica and occasional numbness all toes left foot and positive cough sign.

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MRI lumbar spine done 17-May-2011 showing huge extruded disc L4-5 with left downward migration.

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On examination: the patient was limping with scoliotic stance and weak dorsiflexion left foot -4/5 and planterflexion 4/5. SLRS was 35 degrees in the right shooting to the left  and 85 degrees in the left  with more pain.

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Left L5 foraminotomy was done and partial flavotomy L4-5. The extruded disc was shifting the root medially. The extruded disc was removed lateral to the axilla and meticulous intradiscal cleaning was achieved from the left. The root became lax, but without epidural fat.

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Routine closure of the wound.  Smooth postoperative recovery with normalization of the power of the left  foot with disappearance of left sciatica.


 

 

Please! wait for 3-5 min till the video start to load. It depends upon the internet connection.

Comments

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The estimated postoperative recurrence rate is around 7% because the disc space of L4-5 is still not shallow.

 

 

 

 

 


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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 .

 

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