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Multigen RF lesion generator .

 

02-FEBRUARY-2009  MUHAMED ALI HUSSEIN  30 YEARS  HUGE PLD L4-5 WITH SEVERE SEGMENTAL STENOSIS. 

Anamnesis:

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The patient was operated by me 23-September-2008 for PLD L4-5 for left sciatica. The patient improved then she came 01.January-2009 complaining of left sciatica for the last 10 days.

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MRI lumbar spine performed 30-December-2008 showed huge central recurrence at L4-5 more to the left side.  The patient had exaggerated scoliotic stance with SLRS was 90 degrees both sides and without neurologic deficit.

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Scarolysis of the left L5 root was performed and drilling was achieved, so the the extruded disc was identified. The extruded disc was removed lateral to the axilla and meticulous cleaning of L4-5 disc space was performed from the left side.  Routine closure of the wound.

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Smooth postoperative recovery.

Comments

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The patient had in the first surgery wide defect in the annulus fibrosis and the disc space was not shallow for what the estimated recurrence rate above 7%.

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Now the disc space is shallower than before, for what the estimated recurrence rate is less than 7%.

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


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 .

     

  

[2009] [CNS CLINIC - NEUROSURGERY - JORDAN]. All rights reserved