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20-JULY-2009  ROLLA ABDEL-FATAH AL-HMOUD  37 YEARS  EXTRUDED DISC L4-5 WITH RIGHT FORAMINAL OCCLUSION -PREGNANT 6 MONTHS.

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

Anamnesis:

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The husband of the patient came to the clinic 18-July-2009 telling that his wife cannot come to the clinic due to agonizing right sciatica and that she is pregnant with 5-6 months. The sciatica is for one month duration.

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On examination: the patient is limping with scoliotic stance, SLRS was 30 degrees in the right with pain and weak dorsi and planterflexion right foot 3/5 with hypalgesia of right L5 and S1 territories.

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MRI lumbar spine performed 14-July-2009 showing huge extruded disc L4-5 with right downward migration.

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Right hemiflavotomy of L54-5 and foraminotomy of right L5 root was performed and removal of the extrusion was achieved lateral to the axilla and meticulous cleaning of L4-5 disc space was performed from the right.

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Considering the age of the patient and still not shallow disc space height, the Satellite PEEK nucleus replacement sphere was suggested to the patient, but the husband ignored the idea.

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Routine closure of the wound.

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Smooth postoperative recovery with improvement of the power of the right foot.


Comments

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The expected recurrence in this case is above 7% and insertion of the replacement nucleus was an ideal solution to decrease this figure, but the patient refused to perform such procedure.

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Premature labor could happen even without surgical intervention, for what a consensus was explained to the father before surgery about this event in case that it took place during the stay in the hospital.


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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