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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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Multigen RF lesion generator .

26-NOVEMBER-2011  NASER MASHHOUR UTHMAN  35 YEARS EXTRUDED DISC L5-S1 WITH LEFT FORAMINAL OCCLUSION.

Anamnesis

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The patient came to the clinic 23-November-2011  complaining of LBP with agonizing left sciatica for 3 weeks, down to the left calf muscle.

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MRI of the lumbar spine performed 12-November-2011  showing extruded disc L5-S1 with left foraminal occlusion.

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On examination: There is limping with exaggerated scoliotic stance. SLRS was 20 degrees with pain in the left. The AJ is absent in the left. There was weak dorsi and planterflexion left foot -4/5.

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Left S1 foraminotomy with partial flavotomy with preservation of the epidural fat. The extruded disc of L5-S1 was severely compressing the left S1 root. It was removed lateral to the axilla. Left sided cleaning of L5-S1 disc space. The epidural fat was shifted to cover the root were it was missing, to minimize postoperative fibrosis.

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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 had pin-point compression of the root with hard disc, causing agonizing sciatica. If the piece was soft, no need for surgery, but the piece is hard in consistency and it will not shrink with time.

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The estimated postoperative recurrence is still around 7%, because the disc space is not shallow.

 


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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