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14-JULY-2009  MUHAMMED HUSSEIN AL-NAJJAR  50 YEARS WIDE-BASED EXTRUDED DISC L4-5 WITH SECONDARY CANAL STENOSIS.

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

Anamnesis:

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The patient came to the clinic 11-July-2009 complaining of LBP for one month with agonizing right sciatica.

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MRI lumbar spine performed the same day showing wide-based extruded disc L4-5 causing secondary segmental stenosis.

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On examination: the patient is limping with scoliotic stance and weak dorsi and planterflexion right foot. The patient is a known diabetic.

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Bilateral cleaning of L4-5 disc space was performed. Considering that the disc space of L4-5 was still high and the defect in the annulus fibrosis was wide, it was mandatory to insert the Satellite PEEK nucleus replacement No 16 after the last trail of No 15 from the left side. Check X-ray showed acceptable position and inspection from the right side of the attack sowed the artificial device centrally located.

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Smooth postoperative recovery with improvement of the power of the right foot.


Comments

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The expected recurrence rate in this case is high, for what the Satellite PEEK nucleus replacement was applied to prevent further future collapse and minimize the rate of postoperative recurrence.


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