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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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06-JULY-2012  FURSAN ABDEL-FATAH ABU-ATA  37 YEARS CENTRAL EXTRUDED DISC L4-5 WITH SEVERE STENOSIS.

 

Anamnesis

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The patient is a doctor came to the clinic 05-July-2012 complaining of  LBP for 1 month, later left sciatica for one week, then the left sciatica migrated to the right.

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MRI lumbar spine done 21-June-2012 showing centrally extruded disc L4-5 and bulge L5-S1. MRI repeated 03-July-2012 confirming enlargement of the centrally extruded disc L4-5 more to the left.

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On examination, the patient have is limping with exaggerated scoliotic stance. SLRS was 70 degrees in the right with pain. There is almost drop right foot with weak planterflexion same foot -4/5 with absent AJ both sides and weak dorsiflexion left foot 3/5.

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Partial laminectomy of L4 and L5. Bilateral foraminotomy L5 roots both sides. Bilateral cleaning L4-5. All the compressive elements were removed. The roots are hanging free. Guardix-sol was applied to the dural cover.

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Routine closure of the wound. Smooth postoperative recovery. The power of right foot became better and normal power of the left 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 about 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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[2012] [CNS CLINIC - NEUROSURGERY - JORDAN]. All rights reserved