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
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Multigen RF lesion generator .
19-FEBRUARY-2014 HANI HELMI AL-WADI 40 YEARS
EXTRUDED DISC L5-S1 WITH LEFT DOWNWARD MIGRATION.
The patient came to the clinic 11-February-2014
complaining of LBP with left sciatica for 11
days. Yesterday go an agonizing sciatica.
MRI lumbar spine done 03-February-2014 showing
On examination; the patient in agonizing pain,
limping with exaggerated scoliotic stance. SLRS
was 30 degrees with pain left side. AJ was
absent in the left side. Weak dorsiflexion left
foot 3/5 and planterflexion same foot 4/5.There
is hypalgesia left L5 and S1 territories.
The patient sent for MRI of the lumbar spine
and done 12-February-2014, showing extruded disc
L5-S1 with left downward migration.
Left S1 foraminotomy with removal of the
extrusion lateral to the axilla. Left sided
intradiscal cleaning L5-S1 disc space.
recovery. The power of the left foot became
There is still an estimated postoperative
recurrence around 7%, because the disc space is
still not completely 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 .