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Inomed Stockert Neuro N50. A versatile
RF lesion generator and stimulator for
countless applications and many uses


Multigen RF lesion generator .

 

02-DECEMBER-2009  HUSAM MUHAMED AHMAD  23 YEARS  EXTRUDED DISC L4-5 WITH LEFT DOWNWARD MIGRATION.

Please! wait for 3-5 min till the video start to load. It depends upon the internet connection.

Anamnesis:

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The patient came to the clinic 21-November-2009 complaining of LBP with left sciatica for 5 years. The last 8 months exacerbation of sciatica and inability to walk with shuffling gait.

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The patient was limping with exaggerated scoliotic stance. SLRS 85 degrees in the right and 60 degrees in the left. He had weak dorsiflexion left foot 4/4 and planterflexion 3/5 with hypalgesia left S1 root.

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MRI lumbar spine performed 22-November-2009 showing extruded disc L4-5 central more to the left with downward migration.

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Bilateral L4-5 flavotomy with exposure of the compressed left L5 root.  There was no epidural fat due to severe compression. Using image-intensifier during all steps of surgery the level of L4-5 was confirmed and the extruded disc was removed lateral to the axilla of left L5 root. Meticulous cleaning of the disc space of L4-5 was achieved from the left.

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PEEK Satellite nucleus replacement sphere No 12 was inserted and check in AP and lateral views was done confirming acceptable position of the device.

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Routine closure of the wound and smooth postoperative recovery and improvement of the power of left foot.


Comments

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Recurrence of disc prolapse is around 15% in this case because the disc space is still high and the defect of the annulus fibrosis is wide.

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To minimize this to 2%, PEEK Satellite nucleus replacement sphere was applied.


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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 .

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