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Multigen RF lesion generator .

 

15-DECEMBER-2009  UMAR MUHAMED ABDEL-RAHMAN  48 YEARS  EXTRUDED DISC L5-S1 WITH LEFT FORAMINAL COMPRESSION.

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 06-December-2009 complaining of LBP with left sciatica for more than three months.

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On examination: the patient had exaggerated scoliotic stance and limping with agonizing bilateral sciatica and weak dorsiflexion and planterflexion left foot -4/5.

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MRI of lumbar spine performed 07-December-2009 showing huge extrusion L5-S1 disc with left foraminal occlusion.

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The ligamentum flavum was detached from the left side at L5-S1 level and reflected to the right. The left S1 root was exposed and it was severely compressed by the extrusion. Cleaning of the disc space and the extrusion lateral to the axilla. After meticulous cleaning of L5-S1, PEEK Satellite nucleus replacement sphere No 12 was inserted. Check image-intensifier was performed at all stages of surgery.

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Routine closure of the wound.


Comments

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The estimated recurrence in this case was over 15%, because the disc space was still high and the defect in the annulus fibrosis was wide.

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Insertion of PEEK sphere is mandatory to decrease the recurrence to 2%.


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 .

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