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.tv
The patient came to the clinic
20-July-2006 complaining of LBP with right sciatica for 1 month with
scoliotic stance. The patient is limping for 12 days with SLRS 60
degrees in the right , hypalgesia right L5 root and almost drop
right foot. MRI performed 17-July-2006 showing a huge extrusion of
L4-5 disc with back and downward migration.
Right L4-5
hemiflavotomy was performed and foraminotomy of right L5 root was
achieved. All the disc material was removed from under the axilla,
after what the laterally pushed nerve regained relaxed appearance.
The annulus fibrosis was inspected and there was no tear or defect
in the annulus, for what it was decided not to violate the
intradiscal space.
Comments:
1. The slippage
mostly took place from the inferior border of the annulus in the
right side. Time will answer if this strategy is logic to minimize
the recurrence rate.
Skyra MRI with all clinical applications in the run since 28-Novemeber-2013.
Inomed Riechert-Mundinger System, with three point
fixation is the most accurate system in the market. The microdrive and
its sensor gives feed back about the localization.
Inomed MER system
Leica HM500
The World's first and the only Head mounted Microscope.
Freedom combined with Outstanding Vision, but very bad video recording and
documentation.
After long years TRUMPF TruSystem 7500 is running with in the neurosuite at
Shmaisani hospital starting from 23-March-2014
LooksCam II in the run starting from 14-March-2020
