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
The patient was operated for PLD L5-S1 1990 for right sciatica. 16-April-2005 got left sciatica. On examination, she had weak planterflexion all toes left foot with SLRS left side 75 degrees. MRI done 30-June-2005 showing extruded disc L4-5 left side with downward migration. The patient was operated through left hemiflavotomy with foraminotomy of the left L5 root . Minimal cleaning of the disc space was performed after removal of the extrusion.