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Dr. Fuad Al-Masri Syrian neurosurgeon.

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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IOM Sites
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Neurosurgical Encyclopedia
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Neuroanatomical Sites
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Neuro ICU Site
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Neuroradiological Sites
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Neurovascular Sites
vascularneurosurgery.com
vascularneurosurgery.net

Personal Sites
cns-clinic.net
cnsclinic.org
munirelias.com
munir.ws

Spine Surgery Sites
spinesurgeries.org
spinesurgery.ws
spondylolisthesis.info
paraplegia.co
paraplegia.ws

Stem Cell Therapy Site
neurostemcell.com


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26-AUGUST-2013  MAHMOUD AHMAD QUTNA  50 YEARS  EXTRUDED DISC L5-S1 WITH LEFT DOWNWARD MIGRATION.

 

Anamnesis

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The patient was admitted directly to the operating room with agonizing left sciatica for 4 weeks with LBP which subsided then exacerbation the last 10 days.

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MRI of the lumbar spine performed 19-August-2013  showing huge extruded disc L5-S1 with left downward migration. The S1 is lumbarized.

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On examination: the patient cannot walk or stand with agonizing sciatica. There is weak dorsi and planterflexion left foot -4/5. There is numbness of the left foot.

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Considering that the patient has lumbarization of S1, the C-arm was used to identify the L5-S1 level. Fenestration of the left L5-S1 with partial flavotomy and foraminotomy of left S1 root. The extruded disc was pushing the root medially. The extruded disc was removed lateral to the axilla. Left sided cleaning L5-S1 with removal of the hard parts of the slipped annulus fibrosis. The root became lax.

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Smooth postoperative recovery. The power of the left foot became normal.

 

 

Comments

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The patient still have an estimated postoperative recurrence around 7% because the disc space height still not shallow.

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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 .

  

 

 

 

 

 

 

 

 

 

 

 

 

WELCOME TO AL-SHMAISANI HOSPITAL

 

 

 

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