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Stem Cell Therapy Site
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Inomed Stockert Neuro N50. A versatile
RF lesion generator and stimulator for
countless applications and many uses


Multigen RF lesion generator .

 

20-JANUARY-2008  FUAD AHMAD KHADER  41 YEARS  HUGE RIGHT FAR-LATERAL L5-S1 DISC EXTRUSION AND LEFT UPWARD MIGRATION.

Anamnesis

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The patient came to the clinic 15-January-2008 complaining of right hip pain for 25 days with right sciatica down to right L5 territory.

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MRI lumbar spine performed 09-January-2008 demonstrating extruded disc L5-S1 with right huge far-lateral disc protrusion and left upward migration. The patient cannot walk more than 20 meters.

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On examination:  SLRS was 80 degrees in the right and 90 degrees in the left. with weak dorsiflexion both feet 4/5, and hypalgesia right L5 territory.

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The patient was advised to keep in conservative treatment in the hope, that the far-lateral extrusion can get a shift or resorption.

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The patient could not wait and the pain became agonizing, that another MRI was performed 19-January-2008 confirming, that the lesion still the same.

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Bilateral flavotomy of L5-S1 was done. It was so wide, that, it was necessary to use the image-intensifier, the level was identified and the right far-lateral extrusion was seen and a huge amount of extrusion was removed. The left upward migrating material was attacked from the left side and removed.

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Bilateral meticulous cleaning of the disc space was achieved.

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Routine closure of the wound.

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Smooth postoperative recovery and the power of both feet dorsiflexion improved.

Comments

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The patient had very wide space between L5 and S1. Usually we do not use the image-intensifier to localize the level at L5-S1, but in this case to avoid further bony removal and waist of time image intensifier was used to define the level.

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Meticulous bilateral cleaning with relatively small height of the disc space  are lowering the estimated recurrence rate in this case.

 

 


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Skyra MRI with all clinical applications in the run since 28-Novemeber-2013.

Leica HM500

Leica HM500
The World's first and the only Headmounted Microscope.
Freedom combined with Outstanding Vision, but very bad video recording and documentation.

TRUMPF TruSystem 7500

After long years TRUMPF TruSystem 7500 is running with in the neurosuite at Shmaisani hospital starting from 23-March-2014

 

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