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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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17-JUNE-2012 FIRYAL MUSA MUHAMED AL-EMERY  40 YEARS  HUGE EXTRUDED DISC L5-S1 WITH RIGHT DOWNWARD MIGRATION.

 

Anamnesis

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The patient came to the clinic 19-April-2012 complaining of LBP for three months with right sciatica and numbness both hands awakening her during night.

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On examination, the patient has waddling gait due to old CDH. SLRS was 40 degrees right and 30 degrees in the left with more pain. There is weak dorsiflexion right foot -4/5.

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MRI lumbar spine done 25-April-2012 showed huge extruded disc L5-S1 with right downward migration.

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The patient then came 26-May-2012 complaining of neck pain for 2 days with right upper limb pain with exaggerated weakness of the right upper limb. MRI cervical spine performed 30-May-2012 showed old small extrusion of C6-7.

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Right S1 foraminotomy with reflection of the ligamentum flavum to the left. The extruded disc was removed lateral to the axilla. Subaxillary inspection of the fragments revealed a piece, which was pushed up and removed form the disc space. Right sided cleaning of L5-S1 disc space. Guardix-sol was applied around the root and the ligamentum flavum returned to its original position.

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Routine closure of the wound. Smooth postoperative recovery with improvement of the power of the right foot.

Antiadhesion solution - Genewel

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.


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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