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Dr. Ali Al-Bayyati and Dr. Munir Elias

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

Functional Neurosurgery
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IOM Sites
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Neurosurgical Encyclopedia
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Neuro ICU Site
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neuroophthalmology.org

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neurophysiology.ws

Neuroradiological Sites
e-neuroradiology.com
neuroradiology.ws

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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03-JULY-2012  NASER WAJEEH MUSTAFA  50 YEARS  HUGE EXTRUDED DISC L5-S1 WITH LEFT DOWNWARD MIGRATION.

 

Anamnesis

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The patient came to emergency Shmaisani hospital 01-July-2012 complaining of severe sudden LBP with left sciatica for 4 days with difficult walking.

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MRI lumbar spine performed 26-June-2012 showing huge extruded disc L5-S1 with left downward migration.

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On examination, the patient have is limping with exaggerated scoliotic stance. SLRS was 60 degrees in the right and 30 degrees in the left with pain. There is weak dorsiflexion both feet 4/5 and planterflexion left foot 4/5 with hypalgesia left L5 root territory.

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Left S1 foraminotomy with reflection of the L5-S1 ligamentum flavum to the right. The left S1 root was severely compressed. The downward migrating disc was removed lateral to the axilla in several pieces and one big piece, after what the root became lax. Left sided cleaning L5-S1. Inspection for remnants showed small pieces at the axilla of bony fragments, which were removed. Guardix-sol applied and the ligamentum flavum returned to its place.

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Routine closure of the wound. Smooth postoperative recovery. The power of both feet became normal.

Antiadhesion solution - Genewel

Please! wait for 3-5 min till the video start to load. It depends upon the internet connection.

Comments

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The patient still has an estimated postoperative recurrence about 7%, because the disc space is still not shallow.


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

 

 

 

[2012] [CNS CLINIC - NEUROSURGERY - JORDAN]. All rights reserved