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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 .

25-MAY-2011  ISMAEEL KHADER HAMMADY  41 YEARS  EXTRUDED DISC L5-S1 WITH LEFT DOWNWARD MIGRATION.

Anamnesis

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The patient came to the clinic 10-May-2011 complaining of LBP for 5 years with left sciatica for 5 months and numbness little toe left foot.

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MRI lumbar spine performed 05-May-2011 showing extruded disc L5-S1 with left downward migration. MRI was performed earlier in 19-February-2011 showing the same picture.

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On examination: the patient is limping with exaggerated scoliotic stance. SLRS was 70 degrees with pain in the left. There is weak dorsi and planterflexion left foot 4/5 worse in dorsiflexion. There is hypalgesia left S1 territory.

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Left S1 foraminotomy with exposure of the subaxillary area 10 mm below the axilla. The extruded disc was adherent with the root. The extruded disc was removed lateral to the axilla and subaxillary. It was necessary to sharply dissect the stuck adherent extrusion off the root. Some tiny fragments were stuck to the corner of the axilla, which were left in place to avoid tear of the root.

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Routine closure of the wound.  The sciatica disappeared and the power of the left foot regained full power.


 

 

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

Comments

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The patient came with neglected extrusion over the years, that the extrusion was stuck with dura, and it was necessary to perform sharp dissection to regain proper discectomy.

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The estimated recurrence rate is below 7% because the disc space was shallow.

 


 

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