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Inomed Stockert Neuro N50. A versatile
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Multigen RF lesion generator .

 

01-FEBRUARY-2008  MUNA MUHAMED IBRAHEEM  42 YEARS  EXTRUDED DISC L4-5 WITH LEFT FORAMINAL COMPRESSION.

Anamnesis:

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The patient came to the emergency of the Al-Shmaisani Hospital 01-February-2008 complaining of LBP with left sciatica for 1 month, with exacerbation the last week.

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MRI of the lumbar spine performed 2 days ago showing an extruded disc L4-5 with left foraminal occlusion.

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On examination: the patient is unable to walk or stand and SLRS was 5 degrees in the left with drop left foot and weak planterflexion that foot. Hypalgesia of the left L5 territory.

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Left L4-5 hemiflavotomy with foraminotomy of left L5 root was performed. The extruded disc was removed lateral to the axilla and meticulous cleaning of the disc space of L4-5 was done from the left side.

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Smooth postoperative recovery with improvement of the motor power of the left foot.

Comments

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Foraminotomy of the involved root must be done in all disc surgeries to be sure that there is no remnant left under the axilla.

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The disc space height was shallow which means a low expected recurrence rate in this case.

 

 


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