Munir Elias 20-12-2013

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.tv

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Multigen RF lesion generator .

18-NOVEMBER-2012  SAMI HANI HARB  65 YEARS  LCS L3-4, L4-5 WITH EXTRUDED DISC L4-5 LEFT SIDE.

 

Anamnesis

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The patient came to the clinic 22-September-2012 complaining of LBP and left sciatica for 17 days with numbness all toes left foot and positive cough sign. The patient is known diabetic for 12 years with arterial hypertension. He is allergic to Voltaren.

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MRI of the lumbar spine done 06-September-2012 showing minimal LCS L3-4, and severe LCS L4-5 with extrusion of the L4-5 left side causing left foraminal occlusion with bulge L5-S1.

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On examination: the patient is limping with minimal scoliotic stance. SLRS 25 degrees in the left with pain. There is weak dorsiflexion left foot 3/5 and hypalgesia left L5 and S1 territories.

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Laminectomy of L4 with upper part of L5 and foraminotomy left L5 root. There was severe stenosis at L4-5. Flavotomy L3-4 was done. The extruded disc L4-5 was removed lateral to the left L5 axilla. Meticulous cleaning of L4-5 disc space was achieved.

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Routine closure of the wounds. Smooth postoperative recovery. The power of the left 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 has an estimated postoperative recurrence around 7%, because the disc space is still not shallow.

 

Leica HM500

Leica HM500
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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

 

 

 

 

 

 

 

 

 

 

 

 

 


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