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
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.
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
Routine closure of the wound.
Smooth postoperative recovery.
The power of
right foot became normal.
The patient still has an estimated postoperative
recurrence around 7%, because the disc space is
still not shallow.
The disc extrusion was not big, but it was
compressing the root as pin point, causing the
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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 .