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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

 
The patient came to the clinic 20-July-2006 complaining of LBP with left sciatica for 1 year with mild scoliotic stance. Exacerbation of sciatica the last 2 weeks. MRI lumbar spine done 15-July-2006 showing PLD L4-5 with extrusion and left downward migration.

On examination: SLRS was 45 degrees in the right and 40 degrees in the left. He had weak dorsiflexion all toes left foot.

Left L4-5 hemiflavotomy with left L5 foraminotomy was performed. The extrusion was removed lateral to the axilla and meticulous cleaning of the disc space was performed from the left side, because the defect in the annulus fibrosis was wide. The downward migrated fragment was removed in one piece after inspection of the root.

Prompt postoperative recovery.

Comments:

1. Since the defect in the annulus fibrosis was wide, it was necessary to perform meticulous cleaning of the disc space, to decrease the recurrence.


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