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Inomed Stockert Neuro N50. A versatile
RF lesion generator and stimulator for
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Multigen RF lesion generator .

 

07-APRIL-2009  SAFA HUSNI AL-SHENAR  33 YEARS  EXTRUDED DISC L5-S1 WITH RIGHT DOWNWARD MIGRATION.

Anamnesis:

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The patient came to the clinic 30-March-2009 complaining of right sciatica for one month with LBP for 5 years. She was limping with exaggerated scoliotic stance.

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The patient has mitral valve prolapse.

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On examination: SLRS was almost zero in the right  with weak dorsiflexion right foot 3/5 and planterflexion 4/5 with analgesia right S1 territory.

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The patient was sent for MRI lumbar spine which was performed 31-March-2009 showing extruded disc L5-S1 with right downward migration.

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Right S1 foraminotomy was performed and the extruded disc was removed from under the axilla. It was pushing the root lateral and the right S2 medially. All the extrusion was removed and meticulous cleaning of L5-S1 space was performed. Routine closure of the wound.

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Smooth postoperative recovery with prompt recovery of the power and disappearance of the sciatica.

Comments

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The disc space still not shallow and the defect in the annulus fibrosis was large. These factors make the estimated recurrence in the case above 7%, despite the fact that meticulous cleaning was achieved.

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