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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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18-SEPTEMBER-2012  FADWA MAHMOUD WAHDANI  41 YEARS  HUGE EXTRUDED DISC L4-5 WITH LEFT DOWNWARD MIGRATION.

 

Anamnesis

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The patient came to the clinic 13-September-2012 complaining of agonizing LBP and left sciatica for 45 days down to the left S1 territory with numbness of the foot with positive cough sign without any improvement.

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On examination, the patient is limping with exaggerated scoliotic stance. SLRS was 40 degrees in the left with severe pain. The left AJ is absent. There is weak dorsi and planterflexion right foot -4/5. There is numbness of the III to V toes left foot.

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MRI lumbar spine done 13-September-2012 showing huge extruded disc L4-5 with left downward migration with secondary segmental stenosis.

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Left L4-5 hemiflavotomy with L5 foraminotomy. The major part was removed lateral to the axilla. Left sided cleaning L4-5 disc space. The dura and the root were lacking epidural fat due to severe pressure.

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

 

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 was in agonizing pain because the extrusion was big and severely compressing the root.

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The patient still have an estimated postoperative recurrence rate around 7% because the disc space is still not shallow.

 

Leica HM500

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 .

  

 

 

 

 

 

 

 

 

 

 

 

 

WELCOME TO AL-SHMAISANI HOSPITAL

 

 

 

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