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Most of the site will reflect the ongoing surgical activity of Prof. Munir Elias MD., PhD. with brief slides and weekly activity. For reference to the academic and theoretical part, you are welcome to visit  neurosurgery.tv

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Inomed Stockert Neuro N50. A versatile
RF lesion generator and stimulator for
countless applications and many uses


Multigen RF lesion generator .

23-MARCH-2011  MUNIR IBRAHEEM ABDALLA  55 YEARS  HUGE PLD L4-5 WITH RIGHT DOWNWARD MIGRATION.

Anamnesis

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The patient came to the clinic 21-March-2011 complaining of right sciatica for one week and agonizing LBP for several hours.

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MRI lumbar spine performed 21-March-2011 showing extruded disc L4-5 with right downward migration.

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On examination: the patient is limping with exaggerated scoliotic stance.  SLRS was 20 degrees in the right with pain. There is weak dorsi and planterflexion right foot 3/5.

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Right L5 foraminotomy with removal of the extrusion lateral to the axilla in several fragments. Right sided cleaning of L4-5 disc space

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Routine closure of the wound. Smooth postoperative recovery with improvement of the power of right foot.


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

Comments

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The expected recurrence rate still around 7% because, the disc space height still not shallow.

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It was necessary to remove the intradiscal material, because the extruded disc fragments were severely involved with inflammatory process, which means, that the intradiscal material is the same.

 


 

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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