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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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Personal Sites
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Spine Surgery Sites
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spondylolisthesis.info
paraplegia.co
paraplegia.ws

Stem Cell Therapy Site
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19-JULY-2012  RAED ABDEL-HALEEM MAHMOUD  49 YEARS  EXTRUDED DISC L5-S1 WITH RIGHT DOWNWARD MIGRATION.

 

Anamnesis

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The patient came to the clinic 17-July-2012 complaining of  LBP with right sciatica for 1 year with intermittent course. Exacerbation the last 2 weeks with occasional numbness of the right foot.

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MRI lumbar spine done 14-July-2012 showing extruded disc L5-S1 with right downward migration.

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On examination, the patient is not limping with exaggerated scoliotic stance. SLRS was 90 degrees in both sides. There is weak dorsi and planterflexion right foot 4/5. The AJ is diminished in the right side.

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Right S1 foraminotomy. The extruded disc was not contained and it was extruding under the axilla. It was removed in several pieces from under the axilla, after what the root became lax. The disc space of L5-S1 was cleaned from the right side.

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

 

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 have postoperative estimated recurrence around 7%, because the disc space height 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 .

  

 

 

 

 

 

 

 

 

 

 

 

 

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