Microdiscectomy versus hemilaminectomy for lumbar disc prolapse

This study was performed to detect the advantages of microdiscectomy over hemilaminectomy in terms of postoperative hospital stay, postoperative mobilization, early postoperative results, return to work and complications of both procedures during eight months of follow up. Forty two patients were classified into two groups. Both groups were homogenous and cross matched in regard to age, sex, occupation, duration of sciatica. one group was treated by hemilaminectomy and the other by microdiscectomy. The results showed that in microdiscectomy group there was an early ambulation, short duration of postoperative hospital stay and early return to work

Treatment of trigeminal neuralgia by microvascular de decompression

Fifty patients with trigeminal neuralgia were operated upon in Suez Canal University hospital, Al-Sahel Teaching hospital, and Al Azhar University hospital. Micro vascular decompression [MVD] was used in 42 cases, MVD and Rhizotomy in 3 cases, and Rhizotomy only in 3 Cases. The most common etiological factor was arterial loop compression [29 cases]. The superior cerebellar artery was the compressing factor in 24 cases. Thirty five patients had excellent outcome after MVD, 6 good, and 4 had poor outcome. MVD has proved to be an effective method for treatment of Trigeminal neuralgia

Evaluation of surgical treatment of cervical disc and spondylosis

One hundred and forty patients with cervical disc disease and spondylosis treated surgically in the period between 1990 to 1996 at Al-Azhar University Hospitals. They were 110 males and 30 females. The surgical approach was depended on clinico-radiological presentation. Anterior diskectomy was performed in 50 cases and decompressive posterier laminectomy in 90 cases. In anterior diskectomy group, 84% showed improvement, 10% remained unchanged and 6% worsened. In decompressive laminectomy group, 58.8% improved, 18.4% unchanged and 22.2% worsened. Anterior diskectomy had less risk of overall complication than decompressive laminectomy. The indication of surgery is the presence of substantially disc [proved radiologically] of obliterating the subarachnoid space and it should be indenting the cord itself with one of the clinical syndromes. The surgery is urgent once the case is diagnosed to stop further neurological deficits