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.tv

The patient came with complains of left sciatica for more more than 6 months with severe weak dorsi and planterflexion all toes left foot. MRI performed showing huge extrusion of L5-S1 left side with downward migration of the disc material. Left L5-S1 hemiflavotomy  with left S1 root foraminotomy was performed. The disc material was hard and adherent to the root. It was attacked from under the axilla and piece-meal removal was done. It was so adherent to the axilla, that it was decided to leave 0.1 mm thickness of the adherence to the dura. The disc space was cleaned from lateral and medial to the emergence of the root, which was hanging free and the track for it was wide.