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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.fr

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21-NOVEMBER-2012  ABDEL-AZIM ABDEL-HAMID MUHAMED  42 YEARS  EXTRUDED DISC L3-4 WITH SECONDARY STENOSIS.

 

Anamnesis

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The patient came to the clinic 05-May-2007 complaining of neck and right shoulder pain for 4 years with weak extension of the right hand 4/5 and hypalgesia middle finger right hand. MRI performed at that time showed small extrusion C5-6 and was treated conservatively.

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The patient then came 06-June-2012 complaining of LBP and right sciatica for one month with bilateral sciatica when walking. The patient has arterial hypertension for 2 years.

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MRI of the lumbar spine done 23-October-2012 showing extruded disc L3-4 more to the right.

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On examination: the patient is limping with exaggerated scoliotic stance. SLRS 75 degrees both sides with pain. There is weak dorsiflexion left foot 3/5  and right foot 4/5.

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Using image-intensifier, Bilateral flavotomy L3-4 was done with foraminotomy both L4 roots. The extruded disc was removed from the right first, then bilateral removal of the extrusion and cleaning of L3-4 disc space was achieved.

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Routine closure of the wounds. Smooth postoperative recovery. The power of both feet became normal.

 

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

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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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[2012] [CNS CLINIC - NEUROSURGERY - JORDAN]. All rights reserved