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Multigen RF lesion generator .

 

14-JUNE-2008  MUNIRA ABDEL-RAHMAN KHADER  RECURRENT PLD L4-5 WITH RIGHT FAR-LATERAL EXTRUSION AND SEGMENTAL LCS L4-5.

Anamnesis:

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The patient came to the clinic 12-June-2008 with LBP and right sciatica, which continued after surgery which was performed in USA seven years ago, for PLD L4-5 and right sciatica.

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On examination: the patient has scoliotic stance using crutches with weak dorsiflexion right foot 3/5 and left foot 4/5 and weak planterflexion right foot 4/5.

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MRI lumbar spine performed recently showing huge recurrent PLD L4-5 with right far-lateral extrusion and segmental lumbar canal stenosis L4-5.

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Removal of the remnant of L4 was performed and partial of L3 lamina. Foraminotomy of right L5 root was achieved. The right far-lateral extrusion and the centrally locating extrusion was removed and meticulous cleaning of L4-5 was performed from the right. Image-intensifier was used to speed the operative management.

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Smooth postoperative recovery and the power of feet improved dramatically.

Comments

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The recurrence rate in this case is below the average, because the disc space height is minimal.

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Recurrent disc leave scar, for what dissection must be started from the healthy tissues.

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Good imagination of the extrusion must be kept in mind so as not to miss the extrusion.

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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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