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Multigen RF lesion generator .

 

02-SEPTEMBER-2009 AMER MAHMOUD MUSTAFA  38 YEARS  RECURRENT PLD L4-5 WITH RIGHT 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 01-September-2009 complaining of right sciatica for the last 20 days. The patient was operated by me 14-June-2005  for huge PLD L4-5 and came to me 09-January-2008 with right sciatica and was sent for MRI of the lumbar spine, which was done the same day, showing extruded disc L3-4 and was advised to undergo surgery, but the patient escaped. He did not perform surgery and improved over several months.

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MRI lumbar spine performed 29-August-2009 showing huge recurrence of L4-5 with downward migration and disappearance of the extruded disc at L3-4.

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On examination: the patient is limping with exaggerated scoliotic stance. SLRS was 80 degrees in the right with pain with complete drop right foot and analgesia of right L5 root and hypalgesia of right S1 root.

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Right L5 foraminotomy with the use of imageintensifier and the extruded disc was removed lateral to the axilla in one piece. Considering that the disc space of L4-5 is completely collapsed, it was intentionally not violated.

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Routine closure of the wound and smooth postoperative recovery and the patient sent to the ward.


Comments

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The patient has complete collapse of the L4-5 disc space, for what the expected recurrence rate in this level would be around zero.

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PEEK satellite sphere cannot be used in this case, because it is simply not needed.


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