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

 

04-MAY-2009  KAWTHAR MUHAREB AL-ALAMI  40 YEARS  EXTRUDED DISC L5-S1 LEFT SIDE.

Anamnesis:

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The patient came to the clinic 03-May-2009 with agonizing left sciatica and LBP for 10 years with exacerbation the last 3 months.

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MRI lumbar spine performed 29-April-2009 showing extruded disc L5-S1 left side.

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On examination: the patient is limping with exaggerated scoliotic stance with SLRS 70 degrees with pain both sides. The patient is unable to move the toes left foot up and down due to pain - 1/5. There is hypalgesia left L5 and S1 territories.

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Left partial L5-S1 flavotomy with foraminotomy of left S1 root. The extruded disc was removed lateral to the axilla. The was no epidural fat at the compressed parts. The extruded disc was removed in several pieces and left sided cleaning of the L5-S1 disc space was performed.

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Smooth postoperative recovery with normalization of the power of the left foot.

Comments

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The estimated recurrence rate in this case is around 7% because the disc space height still not shallow.

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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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