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Dr. Ali Al-Bayyati and Dr. Munir Elias

 
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Multigen RF lesion generator .

06-OCTOBER-2011  SALAH EDDIN ABDEL-FATAH HMOUD  51 YEARS  EXTRUDED DISC L4-5 WITH RIGHT DOWNWARD MIGRATION.

Anamnesis

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The patient came to the clinic 01-October-2011 complaining of LBP with right sciatica for 1 week with numbness of the right foot. The patient came several times 12-May-2009, 21-July-2011 and 23-July-2011 and he was treated conservatively for bulge disc L4-5 and right sciatica. The patient is a known diabetic with cardiac problems, for what 2 stents were applied.

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On examination: the patient is limping,  has exaggerated scoliotic stance. There is weak dorsiflexion right foot -4/5. SLRS was 35 degrees in  the right side with pain.

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MRI lumbar spine repeated 03-October-2011 showing extruded disc L4-5 with right downward migration.

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Right extended L5 foraminotomy was done. The far down migrating disc was removed subaxillary in 2 big pieces. Right sided cleaning of L4-5 disc space.

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Routine closure of the wound.  Smooth postoperative recovery  with improvement of the power of right foot and disappearance of numbness of the right foot..


 

 

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

 

Comments

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The estimated postoperative recurrence in this case is above 7%, because the disc space is still high.

 


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Notice: Head injuries and very urgent surgeries are also escaped from the plan .

 

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