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Multigen RF lesion generator .

 

21-FEBRUARY-2008  BADRIYEH BADER SINAWI  46 YEARS  EXTRUDED DISC L4-5 WITH LEFT DOWNWARD MIGRATION.

Anamnesis:

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The patient came to the Shmaisani hospital with agonizing left sciatica and inability to walk for one week. She started to complain of LBP and left sciatica for one month.

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MRI performed 2 days before the admission, showed a huge extruded disc L4-5 with left downward migration.

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The patient had weak planterflexion left foot and almost drop left foot. Hypalgesia of the left L5 territory and numbness of the big toe left foot.

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Left L4-5 hemiflavotomy was performed and foraminotomy of left L5 root was achieved. The extruded disc under the root was identified and removed in piece-meal fashion, after what the root became lax.

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Left sided cleaning of the disc space of L4-5 was performed. The disc space was shallow.

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Routine closure of the wound and smooth postoperative recovery.

Comments

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The patient has shallow disc space, which make the estimated recurrence lower than average.

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The extruded disc was compressing the root, for what an agonizing pain was the prominent feature in her clinical picture.

 

 


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