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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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Spine Surgery Sites
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Stem Cell Therapy Site
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04-JUNE-2013  HAFEZ ISSA AL-TAMIMI  56 YEARS  EXTRUDED DISC L5-S1 WITH RIGHT FORAMINAL OCCLUSION.

 

Anamnesis

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The patient was operated for olfactory groove meningioma 20-February-2010 and he was under follow up. Then he came 03-June-2013 complaining of right sciatica 4 days after lifting heavy object 3 weeks ago with numbness of the right foot.

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MRI lumbar spine done 01-June-2013 showing extruded disc L5-S1 with right foraminal occlusion.

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On examination: The patient is limping with exaggerated scoliotic stance. SLRS was 75 degrees with pain in the right. There is weak dorsi and planterflexion right foot 3/5. Hypalgesia right S1 territory.

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Right S1 foraminotomy. The extruded disc was severely compressing the root, that it was not reachable lateral to the axilla, nor subaxillary. The disc space was violated lateral to the axilla to decrease the compression to the root. The extruded disc was removed lateral to the axilla. Right sided intradiscal cleaning of L5-S1 disc space.

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Routine closure of the wound. Smooth postoperative recovery. The power of right foot became normal.

 

 

Comments

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The patient has severe hard compression of the right S1 root. Surgical decompression is the only solution.

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

 

 

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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

 

 

 

[2013] [CNS CLINIC - NEUROSURGERY - JORDAN]. All rights reserved