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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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28-MAY-2012  ALAA BASEM AL-SHAREEF  24 YEARS EXTRUDED DISC L5-S1 WITH LEFT FORAMINAL OCCLUSION.

 

Anamnesis

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The patient  came to the clinic 19-March-2012 complaining of left sciatica for 10 months down to the calf muscle with a progressive condition. MRI lumbar spine performed 19-September-2011 showing extruded disc L5-S1 with left foraminal occlusion. The patient is overweight 120 Kg.

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On examination, the patient is limping with exaggerated scoliotic stance. SLRS was 40 degrees in the right with shooting pain to the left and 5 degrees in the left with more pain. The left AJ was absent and there is weak dorsiflexion left foot 3/5.

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The patient was sent for new MRI lumbar spine which was done 22-May-2012 showing the extruded disc L5-S1 with left foraminal occlusion and downward migration.

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Left S1 foraminotomy with partial L5-S1 flavotomy. The patient is very obese and the wound is very deep, that all the instruments were with difficulty reaching the working area and video production is difficult. The extruded disc was removed lateral to the axilla and left sided cleaning of L5-S1 disc space was achieved. Guardix-sol 1.5 was applied to decrease postoperative fibrosis.

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Routine closure of the wound. Smooth postoperative recovery and the power of the left foot became normal.

Antiadhesion solution - Genewel

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 have an estimated postoperative recurrence around 7% because the disc space height still not shallow.

 


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Notice: Head injuries and very urgent surgeries are also escaped from the plan .

  

 

 

 

 

 

 

 

 

 

 

 

 

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