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 suffering of LBP for 25 years. 10 days ago before coming to the clinic 13-August-2005 got exacerbation of LBP with right sciatica, not reaching below knee. MRI performed 11-Aigist-2005 showing extruded disc L3-4 with right downward migration. He had also first degree spondylolithesis L4-5 and old shrunken calcified disc L5-S1. On examination SLRS was 40 degrees in the right  with weak dorsiflexion right foot and weak both quadriceps femores muscles. Considering that the acute event of his problem, he was operated and foraminotomy of the right L4 root was performed and the extruded disc was removed subaxillary. Post operative course was uneventful and the power normalized and the shooting sciatica disappeared.