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

The patient came to the clinic with complains of right sciatica and numbness of the right foot with inability to walk more than 100 meter. MRI performed showing huge extrusion of L5-S1 root with downward migration in the right side with elements of LCS L4-5. The patient is USA citizen and came after escalation of his symptoms.

Laminectomy of L5 with foraminotomy of right S1 root was performed. The completely migrating huge fragment was removed from under the axilla. Bilateral flavotomy L4-5 was done to remove the stenotic elements at that level.