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Multigen RF lesion generator .

 

22-DECEMBER-2009  ALLA MUHAMED AHMAD  28 YEARS  EXTRUDED DISC L4-5 WITH LEFT FORAMINAL OCCLUSION.

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

Anamnesis:

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The patient came to the clinic 02-August-2009 complaining of LBP with left sciatica for 2 weeks. MRI lumbar spine performed 30-July-2009 showing old bulge disc at L2-3, 3-4 and L4-5 with left downward migration. The patient had no limping, with mild scoliotic stance with weak dorsiflexion left foot 4/5. He was advised to continue in conservative treatment and he improved over the next several days.

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The patient then came to the clinic 06-December-2009 complaining of exacerbation of LBP  with increased left sciatica the last 2 weeks with the weakness of the left foot dorsiflexion -4/5 and right foot 4/5.

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Repeat MRI of the lumbar spine performed 09-December-2009 showing increase of the extrusion of L4-5 with foraminal occlusion.

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Left L5 foraminotomy with partial hemiflavotomy L4-5 was performed from the left side. The extruded disc of L4-5 was removed after what the root became lax and free of compression. Further cleaning of the disc space was performed lateral to the axilla.

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Routine closure of the wound. The power of the both feet normalized.


Comments

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The patient is a young chap with still having a high disc space with wide defect in the annulus fibrosis. Logically the estimated recurrence rate is ranking around 15%. It was suggested to the patient to include PEEK Satellite sphere in his surgery, but he refused.


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