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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08-MAY-2011 SUZAN MUHAMED AL-ATTAR 39 YEARS
HUGE EXTRUDED DISC L4-5 WITH SECONDARY SEGMENTAL STENOSIS AT
THIS LEVEL.
Anamnesis
The
patient came to the clinic 05-May-2011, telling
that she started to complain of LBP with
bilateral sciatica, more the left, for 5 days
with numbness both both feet and difficult
walking.
The
patient performed MRI lumbar spine 04-May-2011
showing extruded disc L4-5 with secondary canal
stenosis with small extrusion of L5-S1 left
side.
On
examination: the patient had scoliotic stance,
limping and SLRS 40 degrees in the right and 30
degrees in the left with pain. Weak dorsiflexion
3/5 and planterflexion 4/5 both feet.
Decompressive laminectomy L4 and partial of L5
was done. Bilateral foraminotomy both L5 roots.
The extruded disc was removed from both sides
and bilateral cleaning L4-5 disc space was
achieved.
Routine
closure of the wound. Smooth postoperative
recovery with improvement of the power of both
feet and disappearance of sciatica.
Please! wait for 3-5 min till the
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Comments
The estimated recurrence rate in this case is
ranking around 7%, because the disc space of
L4-5 still not shallow.
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 .
