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25-AUGUST-2009  MUHAMED AHMAD ANABTAWI  57 YEARS  HUGE EXTRUDED DISC L4-5 WITH MIGRATION POSTERIOR TO THE DURAL SAC FROM THE RIGHT.

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 Al-Shmaisani hospital 23-August-2009 complaining of LBP with bilateral sciatica and weak both feet and numbness both feet.

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MRI of the lumbar spine performed 19-August-2009 showing huge extruded disc L4-5 with migration posterior to the dural sac from the right.

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On examination: the patient is limping with scoliotic stance with SLRS 60 degrees both sides and weak dorsi and planterflexion both feet 4/5.

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Using image-intensifier, the extruded disc was removed directly fro under the removed ligamentum flavum . It was very huge and extending to the right. Bilateral cleaning of the disc space of L4-5 and insertion of PEEK Satellite nucleus replacement sphere number 15 was inserted. Several image-intensifier controls were performed.

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Routine closure of the wound and smooth postoperative recovery and the power of both feet normalized.


Comments

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The recurrence in this case is ranking high, for what nucleus replacement sphere was applied to decrease the recurrence.

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It is the second case in this month that the extruded material migrate posteriorly behind the dural sac, which is very rare.


Back Up!

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[2009] [CNS CLINIC - NEUROSURGERY - JORDAN]. All rights reserved