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
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27-SEPTEMBER-2008 KHADRA AYYED MDANAT 75 YEARS
EXTRUDED DISC L5-S1 WITH RIGHT FORAMINAL OCCLUSION.
The patient came to the
clinic 08-September-2007 complaining of LBP for
2 months with left sciatica. Exacerbation the
last month of the left sciatica.
MRI lumbar spine performed
10-September-2007 showed a small extrusion of
L2-3 with bulge at the below levels and was
The son then cam
21-September-2008 telling that his mother is now
complaining of LBP with right sciatica for two
months. MRI lumbar spine done 16-September-2008
showing PLD L5-S1 with right foraminal
On examination before surgery: the patient
in agonizing pain. Limping with scoliotic stance
with pain right side. She had almost drop
right foot and
weak planterflexion left foot 3/5.
Right hemiflavotomy of L5-S1
was done and foraminotomy of right S1 root was
achieved. The main compression was from
the deformed right facet joint with calcified
ganglion arising from it, obliterating the
foramen. Discectomy of L5-S1 was done with
cleaning of the disc space from the right.
The defect of the annulus
fibrosis was medium in size and disc space was
Routine closure of the wound
and smooth postoperative recovery.
The patient had shallow disc space, for what the estimated
recurrence rate could be below 7%.
Lateral recess syndrome could
be due to calcified ganglion arising from the
deformed facet joint. This finding still cannot
be estimated in the MRI. More accurate tools
must be installed in radiologic armamentarium to
make this finding more easier before surgery.
Please! wait for 3-5 min till the
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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 .