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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

 
The patient was operated for PLD L4-5 18 months ago and for recurrence of PLD L4-5 left side 06-October-2005 ago by me. He was fine until 10 days ago, he started to suffer from the same left sciatica and MRI performed confirmed the presence of recurrence at L4-5 left side at the site of the last surgery.

The patient underwent exploration of the left upper corner of the previous surgical field and the extrusion was removed. The disc space was empty and the medial part of the left L4-5 facet was fractured and flail, for what, it was removed.

Comments:

1. The cause of the recurrence is not clear, but the presence of the fractured part of the facet joint, could explain, that the patient suffered extreme stress to the area, causing the recurrence to take place.


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