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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 .

27-FEBRUARY-2010  WAFA AHMAD SHAHEEN  51 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 17-February-2010 complaining of exacerbation of left sciatica the last week. She was not limping but she had scoliotic stance as in 05-May-2008.  There was weak dorsiflexion left foot -4/5 with numbness of the 2 and 3 toes left foot.

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The patient was operated by me 25-September-2002 for PLD L5-S1 for right sciatica.

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MRI of the lumbar spine performed 20-February-2010 showing extruded disc L4-5 with left foraminal occlusion, more than the extrusion seen in the MRI performed 06-May-2008.

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Left L4-5 hemiflavotomy and foraminotomy of left L5 root was performed. The left L5 root was severely compressed but the extrusion and the dural wall was very thin and transparent. The extruded disc was removed lateral to the axilla and left sided cleaning of L4-5 was done. There is a small tear of the root due to compression, but without CSF leak, for what application of bipolar coagulation could eliminate the tear without applying repair.

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Routine closure of the wound.

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Smooth postoperative recovery, and the power of the left foot improved.


Comments

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The disc space was shallow, for what the estimated recurrence rate is low and there is no need for insertion of the Satellite PEEK sphere.

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The root was tiny small and the dural wall was transparent due to old compression.


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

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