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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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Personal Sites
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munirelias.com
munir.ws

Spine Surgery Sites
spinesurgeries.org
spinesurgery.ws
spondylolisthesis.info
paraplegia.co
paraplegia.ws

Stem Cell Therapy Site
neurostemcell.com


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09-JULY-2012  ABDEL-AZZIZ SALAMEH AL-AWAYDEH 50 YEARS EXTRUDED DISC L4-5 WITH RIGHT DOWNWARD MIGRATION AND SEVERE SEGMENTAL STENOSIS.

 

Anamnesis

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The patient came to the clinic 01-July-2012 complaining of LBP since 1995 with right sciatica. The patient felt down 2 months ago and got exacerbation of LBP with right sciatica.

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On examination, the patient now is limping with exaggerated scoliotic stance. SLRS was 75 degrees in the right with pain. There is weak dorsiflexion right foot 3/5 and left foot 4/5.

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MRI lumbar spine done 07-July-2012 showing severe lumbar canal stenosis L4-5 with extruded disc L4-5 and right downward migration.

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Decompressive laminectomy of L4 and partial of the upper half of L5. Bilateral flavotomy with bilateral foraminotomy both L5 roots. The extruded disc was removed lateral to the right axilla.

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Routine closure of the wound. 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 about 7%, because the disc space is still not shallow.


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 .

  

 

 

 

 

 

 

 

 

 

 

 

 

WELCOME TO AL-SHMAISANI HOSPITAL

 

 

 

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