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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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Neuroanatomical Sites
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Neuroendocrinologiacl Site
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Neuro ICU Site
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neuroophthalmology.org

Neurophysiological Sites
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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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27-MARCH-2013  NAWAL ISMAEEL TAYA  35 YEARS  EXTRUDED DISC L4-5 WITH LEFT DOWNWARD MIGRATION.

 

Anamnesis

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The patient came to the clinic 23-March-2013 complaining of LBP for 3 years with left sciatica for 1 month with exacerbation last week. The pain shooting down to all toes left foot more to the big toe.

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MRI lumbar spine done 20-March-2013 bad quality showing small extruded disc L4-5 left side.

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On examination: The patient is in agonizing pain, unable to walk or stand to evaluate for limping or scoliotic stance. SLRS was 40 degrees in the right with pain and 3 degrees in the left with more pain shooting to the right. There is weak dorsiflexion left foot 4/5 with hypalgesia left L5 and S1 roots.

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The patient was sent for further investigations, which confirmed the presence of huge extrusion L4-5 with left foraminal occlusion with left downward migration with normal pelvic anatomy except for polycystic both ovaries.

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Using C-arm, the level of L4-5 was identified, because the patient was fatty. Left partial L4-5 flavotomy and foraminotomy left L5 root was done. The extruded extrusion was removed lateral to the axilla in one piece. Left sided intradiscal cleaning L4-5 disc space.

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

 

 

Comments

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There is still an estimated postoperative recurrence around 7%, because the disc space is 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