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Dr. Ali Al-Bayyati and Dr. Munir Elias

 
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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26-JANUARY-2012  RIYAD MAL-ALLA DAWOUD  45 YEARS  EXTRUDED DISC L4-5 WITH LEFT FORAMINAL OCCLUSION AND SECONDARY SEGMENTAL STENOSIS.

Anamnesis

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The patient came to the clinic 11-January-2012 complaining of LBP for 27 years with left sciatica. The condition deteriorated the last 2 months.

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On examination, the patient walking normally. SLRS was 30 degrees with pain the left side. There is hypalgesia below the left knee with weak dorsi -4/5 and planterflexion 4/5 of the left foot.

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MRI of the lumbar spine was done 12-January-2012 showing extruded disc L4-5 with left foraminal occlusion with left downward migration.

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Left L5 foraminotomy. The left L5 root is severely compressed. The extruded disc was hard in consistency and it was removed partially lateral to the axilla and partially subaxillary. Left sided cleaning of L4-5 disc space. The root is hanging free.

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Routine closure of the wounds. Smooth postoperative recovery with improvement of the power of the left foot.


 

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

Comments

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The patient is having estimated postoperative recurrence around 7%, because the disc space height still not narrow.

 

 

 


Back Up!

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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[2012] [CNS CLINIC - NEUROSURGERY - JORDAN]. All rights reserved