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Inomed Stockert Neuro N50. A versatile
RF lesion generator and stimulator for
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Multigen RF lesion generator .

 

7-AUGUST-2009  HANEEN MAMDOUH AL-MASRY  52 YEARS  HUGE RECURRENT PLD L5-S1 RIGHT SIDE.

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 was operated by for huge PLD L5-S1  with right downward migration 31-May-2008. She was doing well until 1 month ago got right sciatica with exacerbation the last 10 days.

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The patient came to the clinic 15-August-2009 and in clinical evaluation, she had no neurological deficit. SLRS was 70 degrees in the right with pain.

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The old wound was refreshed and the right upper edge of the bony approach to L5-S1 was also refreshed until the extruded material was identified. It was removed in one piece.  The shallow collapsed disc space of L5-S1 was cleaned from remnants of disc material. Vo attempt was done to remove the scar and only the root edge was seen.

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Routine closure of the wound and smooth postoperative recovery.


Comments

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Recurrence was expected in the first operation to be higher than 7%, because the disc space was not shallow at that time. It was good idea to use the PEEK Satellite sphere at that time to reduce the recurrence.

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At this stage using the PEEK Satellite is meaningless, since the disc space became shallow and the expected recurrence rate now is below 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 .

     

  

[2009] [CNS CLINIC - NEUROSURGERY - JORDAN]. All rights reserved