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Dr. Fuad Al-Masri Syrian neurosurgeon.

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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Spine Surgery Sites
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Stem Cell Therapy Site
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27-JUNE-2013  ABEER KHALEEL ABDEL-KAREEM  41 YEARS  EXTRUDED DISC L5-S1 WITH RIGHT DOWNWARD MIGRATION.

 

Anamnesis

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The patient came to the clinic 22-June-2013 complaining of LBP for 4 years. The last month got exacerbation of LBP with right sciatica down to the big toe right foot.

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MRI lumbar spine done 02-June-2013 showing huge extruded disc L5-S1 with downward migration right.

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On examination: The patient is limping with exaggerated scoliotic stance. SLRS was 45 degrees with pain in the right. Weak dorsiflexion right foot -4/5 and planterflexion right foot 4/5. There is hypalgesia right L5 root.

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Right L5-S1 hemiflavotomy. Right S1 foraminotomy. The extruded disc was removed lateral to the axilla. Right sided intradiscal cleaning L5-S1 disc apace. A piece of muscle was applied to the area to control heamostasis.

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Routine closure of the wound. Smooth postoperative recovery. The power of right foot became normal.

 

 

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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The disc extrusion was not big, but it was compressing the root as pin point, causing the agonizing pain.

Leica HM500

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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 .

  

 

 

 

 

 

 

 

 

 

 

 

 

WELCOME TO AL-SHMAISANI HOSPITAL

 

 

 

[2013] [CNS CLINIC - NEUROSURGERY - JORDAN]. All rights reserved