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Multigen RF lesion generator .

 

19-JULY-2008  NAHLA MUSA ARSLAN  38 YEARS  EXTRUDED DISC L5-S1 WITH RIGHT DOWNWARD MIGRATION.

Anamnesis:

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The patient came to the clinic 12-July-2008 complaining of LBP  for nine months with right sciatica for one month with numbness of the right foot at the S1 territory.

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On examination: the patient in agonizing pain with scoliotic stance  with SLRS 60 degrees in the right and 80 degrees in the left with pain. She had weak dorsi and planterflexion right foot 3/5.

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The patient was sent for MRI lumbar spine  which was performed 13-July-2008 showing PLD L5-S1  with right downward migration compressing the right S1 root.

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Right S1 root foraminotomy with partial flavotomy of L5-S1 was performed. The extruded disc was removed from under the axilla in two pieces, after what the root became lax. The disc space was cleaned lateral to the axilla from the right.

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Routine closure of the wound and smooth postoperative recovery with normalization of the power of right foot.

Comments

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The patient was in agonizing pain due to severe root compression.

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The expected recurrence in this case is around the average, because the disc height still not shallow.

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The intradiscal material was looking healthy. This factor could reduce the expectancy for recurrence.

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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 .

     

  

[2008] [CNS CLINIC - NEUROSURGERY - JORDAN]. All rights reserved