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 has long history of LBP with bilateral sciatica and for three months complaining of drop right foot with decreased sensation over the L5 territory. MRI showed LCS L3-4 and L4-5 with lateral recess syndrome. Decompressive laminectomy L4, L5 and partial of L3 was performed. Foraminotomy of both right L4 and L5 roots revealed that the right L5 root was compressed by an old calcified disc L4-5 and a ligamentous structure arising from the facet. All the compressing elements were drilled off without violating the disc space and the isthmo-facet structure. The nerve was hanging free and the foramen left wide.