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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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Personal Sites
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Spine Surgery Sites
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spondylolisthesis.info
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Stem Cell Therapy Site
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29-SEPTEMBER-2013  NESRIN HUSNI HASAN  37 YEARS  EXTRUDED CENTRAL DISC L4-5 MORE TO THE RIGHT.

 

Anamnesis

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The patient came to the clinic 23-September-2013 complaining of LBP for 10 years with bilateral sciatica more to the right. Exacerbation of LBP with right sciatica last month. Felt down twice during this time.

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MRI lumbar spine done 03-September-2013 showing huge extruded disc L4-5 central more to the right.

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On examination: the patient is limping with scoliotic stance. SLRS was 20 degrees with pain in the right and 0 degree with pain in the left. She has weak dorsiflexion both feet -4/5 and planterflexion right foot 4/5. She has hypalgesia both right L5 and S1 and left L5 territories.

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Using C-arm, the L4-5 level was identified. Laminectomy L4 and upper third of L5. L3-4 flavotomy was done to prevent future escalation of L3-4 stenosis. Foraminotomy both L5 roots. The calcified huge extruded disc L4-5 was attacked from the right side, then from the left side. Bilateral cleaning L4-5 disc space.

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Smooth postoperative recovery. The power of both feet became normal.

 

 

Comments

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The patient still have an estimated postoperative recurrence around 7%, because the disc space height is still not shallow even bilateral cleaning performed.

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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