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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-MAY-2009  NIDAL MUHAMED GHAITH  41 YEARS  HUGE EXTRUDED DISC L5-S1 LEFT SIDE.

Anamnesis:

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The patient came to the clinic 03-May-2009 complaining of left sciatica for one month with exacerbation of the sciatica and LBP the last 4 days. He came with crutches.

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On examination: the patient is limping with exaggerated scoliotic stance with positive cough sign and SLRS 30 degrees in the left and weak dorsi and planterflexion left foot 4/5.

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MRI lumbar spine performed 04-May-2009 showing huge extruded disc L5-S1 with left up and downward migration.

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Foraminotomy of left S1 root with partial flavotomy was performed. The extruded disc was shifting the S1 root laterally and it was removed subaxillary in several huge pieces. The disc space was shallow and cleaning of the disc space of L5-S1 was performed from the relatively wide defect in the annulus fibrosis.

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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 below 7% since the disc space is shallow, but the defect in the annulus fibrosis was wide.

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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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