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Multigen RF lesion generator .

 

21-MARCH-2009  RUBA RUSHDY AL-DILI  39 YEARS  HUGE PLD L4-5 WITH RIGHT DOWNWARD MIGRATION.

Anamnesis:

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The patient came to the clinic 01-February-2009 complaining of right sciatica for 10 months.

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MRI lumbar spine performed 02.April-2008 showed huge extruded disc L4-5 with right extrusion.

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On examination the patient was limping with exaggerated scoliotic stance with SLRS 30 degree in the right and weak dorsiflexion right foot 3/5 and planterflexion 4/5 respectively.

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MRI investigation was repeated 07-February-2009 showing the same extrusion.

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Right L5 root foraminotomy was performed and the extruded disc was removed lateral to the axilla. Right sided cleaning of L4-5 disc space was performed. The defect in the annulus fibrosis was medium in dimensions.

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There was tiny dural defect at the lower edge of the exposed dura, which was closed by nylon 6 zero and check for CSF leak was tested and it was negative. Routine closure of the wound

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

Comments

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The patient has slightly shallow disc space of L4-5 and the defect of the annulus fibrosis is medium in size, for what the expected recurrence rate in this case is below 7%.

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