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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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Stem Cell Therapy Site
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24-NOVEMEBR-2012  FATHI MUHAMED AHMAD NAJEM EXTRUDED DISC L5-S1 WITH LEFT DOWNWARD MIGRATION.

 

Anamnesis

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The patient came to the clinic 22-November-2012 complaining of agonizing left sciatica for 10 days with positive cough sign. MRI lumbar spine spine done today showing bulge L4-5 and huge extruded disc L5-S1 with left downward migration. Dynamic studies were normal.

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On examination: the patient is limping, bended anterior and dragging the left leg with exaggerated scoliotic stance. SLRS zero degrees in the left side with pain. There is weak dorsiflexion left foot -4/5. The left AJ is diminished in comparison to the right.

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Left L5-S1 flavotomy with foraminotomy left S1 root. The extruded disc with downward migration was hard in consistency and with difficulty was mobilized from the axilla. It was necessary to remove it in piece-meal fashion and discectomy of L5-S1 was done with trail to push the extrusion to the disc space with subsequent removal. The root became lax and free.

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Routine closure of the wounds. Smooth postoperative recovery. The power of the left 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 below 7%, because the disc space is relatively 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