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Multigen RF lesion generator .

08-MAY-2011  YOUSEF AHMAD ABDEL-QADER  64 YEARS  HUGE EXTRUDED DISC L3-4  WITH SECONDARY CANAL STENOSIS L3-4 AND L4-5.

Anamnesis

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The patient came to the clinic 30-April-2011 complaining of left sciatica for 2 years with exacerbation of the sciatica the last 2 weeks down to L5 territory with numbness of the big toe left foot.

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The patient performed MRI lumbar spine 27-April-2011 showing extruded disc L3-4 more to the left with secondary stenosis at L4-5 and L3-4 levels.

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On examination: the patient had weak dorsiflexion right foot 4/5 and 3/5 left foot with weak planterflexion left foot -4/5. There is hypalgesia right L5 root.

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Decompressive partial laminectomy L3 and L4 was done. Bilateral foraminotomy both L4 roots. The extruded disc was removed from both sides and bilateral cleaning L3-4 disc space was achieved.

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Routine closure of the wound. Smooth postoperative recovery with improvement of the power of both feet and disappearance of sciatica.


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 recurrence rate in this case is ranking around 7%, because the disc space of L3-4 still not shallow.

 


 

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