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

 

08-OCTOBER-2008  FAREED MUHAMED ALIA  40 YEARS  EXTRUDED DISC L5-S1 WITH RIGHT DOWNWARD MIGRATION.

Anamnesis:

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The patient came to the emergency of Al-Shmaisani hospital 07-October-2008 complaining of agonizing right sciatica for 2 weeks, depriving him sleep.

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MRI of lumbar spine performed today showing extruded disc L5-S1 with right downward migration.

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On examination: the patient had weak planterflexion right foot 3/5 and dorsiflexion right foot 4/5 with anesthesia of S1 and hypalgesia of L5 root territories. SLRS was 30 degrees in the right with pain.

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Right S1 root foraminotomy and right L5-S1 hemiflavotomy was performed. The right S1 root was pushed laterally and the extruded disc was removed from under the axilla. After removal of the extrusion, the root was shifted medially and right sided cleaning of disc space was performed meticulously. The epidural fat was preserved and turned back to cover the root.

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Routine closure of the wound. The power of the right foot normalized immediately after surgery.

Comments

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The patient has short period of suffering, for what prompt recovery was noted after surgery.

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The expected recurrence rate in this case is slightly below 7%, because the disc space height is less than normal.

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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 .

     

  

[2008] [CNS CLINIC - NEUROSURGERY - JORDAN]. All rights reserved