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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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Neuro ICU Site
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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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12-DECEMBER-2012 ATTA MUHAMED ABDEL-RAHMAN 46 YEARS EXTRUDED DISC L3-4 WITH SEGMENTAL STENOSIS

 

Anamnesis

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The patient came to the clinic 08-December-2012 complaining of LBP for many years with exacerbation last 3 years with left sciatica and bilateral sciatica for 1year with pain and numbness all toes right foot. He cannot walk more than 200 meters. The patient is a known hypertensive underwent CABG 18 months ago.

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On examination: the patient is limping in agonizing pain with exaggerated scoliotic stance. SLRS 60 degrees right side and 55 degrees in the left with pain. There is weak dorsiflexion both feet -4/5. There is hypalgesia right L5 territory.

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MRI of the lumbar spine done 01-December-2012 showing extruded disc L3-4 with left downward migration causing severe segmental stenosis.

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Decompressive laminectomy L3 and upper third of L4. Bilateral foraminotomy both L4 root. There were 2 separate dural defects, which were closed by 6 zero nylon. Bilateral removal of the extrusion and bilateral cleaning of L3-4 disc space.

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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 rate below 7%, because the disc space is still not completely shallow and the stress is less than the underlying disci.

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 .

  

 

 

 

 

 

 

 

 

 

 

 

 

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