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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28-FEBRUARY-2013 MUHAMED HASAN JABER 54 YEARS
EXTRUDED DISC L4-5 WITH LEFT FORAMINAL OCCLUSION.
Anamnesis
The patient came to the clinic 25-February-2013 complaining of
LBP for 20 years with exacerbation of left
sciatica the last 10 days with
numbness of the left foot.
MRI lumbar spine done 24-February-2013 showing
huge extruded disc L4-5 with left foraminal
occlusion and downward migration.
On examination: The patient is limping with
exaggerated scoliotic stance. SLRS was 90 degrees
in the right and 80 degrees in the
left with pain. There is
weak dorsiflexion and
planterflexion left foot 3/5 with hypalgesia
left foot up to the mid foreleg.
Left L5 foraminotomy with
subaxillary removal of the extrusion. After
that, the root became lax and left sided
intradiscal cleaning L4-5 disc space was done.
Routine closure of the wound.
Smooth postoperative recovery. The power of
left foot became normal.
Comments
The patient had huge extrusion of L4-5 without
improvement. Surgical intervention is the only
solution.
The estimated postoperative recurrence is still
ranking below 7%, because the disc space is
still relatively shallow.
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