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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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Personal Sites
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Spine Surgery Sites
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spondylolisthesis.info
paraplegia.co
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Stem Cell Therapy Site
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14-NOVEMBER-2012  BASSAM TAHSEEN AL-BITAR  50 YEARS  EXTRUDED DISC L4-5 WITH RIGHT UPWARD MIGRATION.

 

Anamnesis

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The patient came to the clinic 11-November-2012 complaining of LBP and right sciatica for 1 month.

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MRI of the lumbar spine done 11-November-2012 showing huge extruded disc L4-5 with right upward migration and bulge L5-S1.

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On examination: the patient is limping with exaggerated scoliotic stance. SLRS 85 degrees in the right with pain. There is weak dorsiflexion right foot 4/5.

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Using image-intensifier, to achieve approach through minimal incision, the L4-5 level was identified. Partial right L4 hemilaminectomy with foraminotomy right L5 root. The extruded disc L4-5 was removed lateral to the axilla. It was necessary to incise the posterior longitudinal ligament to expose the far upward migrating disc so as to remove the extrusion. 2 huge pieces came out and several small fragments. Inspection of the right L4 root territory to rule out remnants of any fragments. Right sided cleaning of L4-5 disc space was achieved.

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Routine closure of the wounds. Smooth postoperative recovery. The power of the right foot 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 around 7%, because the disc space is still not shallow.

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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