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Multigen RF lesion generator .

18-APRIL-2011  AMER MASHHUR KOKH  31 YEARS  HUGE PLD L5-S1 WITH LEFT DOWNWARD MIGRATION.

Anamnesis

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The patient came to the clinic 06-April-2011 complaining of LBP for 1 year with left agonizing sciatica for 4 days with numbness of the left S1 territory.

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On examination: the patient limping with scoliotic stance. SLRS was 40 degrees left side with pain. There is weak dorsiflexion left foot 4/5 with dysesthesia of the left S1 territory.

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The patient was sent for MRI lumbar spine and done 13-April-2011 showing huge extruded disc L5-S1 with left downward migration.

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Left S1 foraminotomy with partial flavotomy was done. The extruded disc was removed lateral to the axilla in several pieces. There was rich venous structures, that needed to coagulate to achieve good heamostasis. Left sided cleaning L5-S1 disc space. Subaxillary inspection for remnants did not reveal presence of such fragments.

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Routine closure of the wound. Smooth postoperative recovery with improvement of the power of left foot.



The patient is a known cartoonist and he draw this piece of art about his preoperative suffering/ After his permission.

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

Comments

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The agonizing pain is pushing the patient to undergo surgery. He was afraid of surgery and he was advised to undergo it, and he escaped then he came, urging to perform the surgery as soon as possible.

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The estimated recurrence rate is around 7% because the defect in the annulus fibrosis was wide.

 

 

After surgery- The patient got better.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


 

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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