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Munir Elias 20-12-2013
The group in action.

 
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.tv

 
13-JUNE-2006 KHALED ABED AL-KHADDAM 45 YEARS VERY HUGE EXTRUDED DISC L4-5 RIGHT SIDE WITH UP AND DOWNWARD MIGRATION.
The patient came to the clinic 30-May-2006 complaining of LBP  for 18 months with right sciatica for one month. MRI performed 31-May-2006 showing very huge extrusion of L4-5 with right downward migration.

On examination: SLRS was 40 degrees in the right and 65 degrees in the left  with weak dorsiflexion both feet more the right. He was advised to undergo surgery and given pain-killers.

Bilateral L4-5 flavotomy with right L5 root foraminotomy was done and the extruded disc was removed in one piece from above the axilla in several huge pieces. Minimal cleaning of the disc space was applied lateral to the axilla from the right. 

Routine closure of the wound. Smooth postoperative neurological recovery.


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