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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

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23-FEBRUARY-2012  QASEM ABBAS NAJEM 37 YEARS  EXTRUDED DISC L3-4 MORE TO THE LEFT WITH CAUDA EQUINA SYNDROME.

Anamnesis

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The patient came to the clinic 19-February-2012 complaining of LBP for 12 years with right sciatica for 7 years. The last 9 months got exacerbation of LBP with left sciatica, exaggerated the last 3 months with micturition problems.

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MRI lumbar spine performed 18-February-2012 showing huge extruded disc L3-4 more to the left with bulge L4-5 and L2-3.

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On examination, the patient is not limping with exaggerated scoliosis. SLRS was 70 degrees both sides with pain. There is hypalgesia below L2 left side with weak dorsiflexion left foot -4/5.

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In prone position, bilateral extended flavotomy L3-4 after checking the level with C-arm. The extruded disc was removed from the left side first, then right sided cleaning L3-4 disc space was achieved.

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Routine closure of the wounds. Smooth postoperative recovery with improvement of the power of the left foot.


 

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

Comments

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The estimated postoperative recurrence still ranking around 7% or higher, because the disc space is still not shallow, despite bilateral clearance.


 

 


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 .

 

 

 

 

 

 

 

 

 

 

 

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