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Multigen RF lesion generator .

23-JUNE-2011  SAADO IBRAHEEM SALEH  72 YEARS  EXTRUDED DISC L4-5 WITH RIGHT FORAMINAL OCCLUSION AND UPWARD MIGRATION.

Anamnesis

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The patient came to the clinic 07-May-2011 complaining of LBP and right sciatica for 12 years  with exacerbation for 45 days with agonizing right sciatica.

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On examination: the patient is limping with exaggerated scoliotic stance with SLRS was 60 degrees in right side . The Achilles' Jerk is absent in the left side. There is weak dorsiflexion both feet 3/5 and planterflexion right foot 3/5.

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MRI of the lumbar spine performed 21-April-2011 showing huge extruded disc L4-5 with right foraminal occlusion and upward migration.

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The patient is a known case with cardiomegaly  and arrhythmia  and he was sent for cardiologic evaluation. MRI of the brain performed 08-May-2011 showing scattered periventricular infarctions both cerebral hemispheres. MRI dorsal spine was normal.

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Right L5 foraminotomy with partial L4-5 flavotomy was performed from the right using image intensifier. The extruded upward migrating disc was removed lateral to the root. Right sided cleaning L4-5 disc space was achieved. The area was lacking the epidural fat due to severe compression. The root and dural structures regained relaxed position at the end of surgery.

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Routine closure of the wound.  The sciatica disappeared and the power of the left leg improved.


 

 

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

Comments

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The estimated recurrence rate is around 7% because the disc space was not shallow.

 

 


 

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Notice: Head injuries and very urgent surgeries are also escaped from the plan .

 

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