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Inomed Stockert Neuro N50. A versatile
RF lesion generator and stimulator for
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Multigen RF lesion generator .

 

29-JANUARY-2003  ALI MUHAMED ALI AL-HAJJY  33 YEARS  EXTRUDED DISC L5-S1 WITH LEFT DOWNWARD MIGRATION AND BULGING L4-5 DISC.

Anamnesis:

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The patient came 28-January-2003  with agonizing left sciatica for 20 days and LBP for two years

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MRI performed 19-January-2003 showing extruded disc L5-S1  with left downward migration and bulge L4-5 more to left.

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On examination: scoliotic stance with SLRS 35 degrees both sides with pain more the left. He had almost drop left foot  and weak planterflexion left foot 4/5. He had hypalgesia left L5 and S1 territories. He had flat both feet.

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Laminectomy of L5 and partial of L4 was performed. Foraminotomy of left S1 root was achieved and the extruded disc was removed lateral to the axilla. Left side cleaning of L4-5 and L5-S1 was performed.

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Routine closure of the wound and smooth postoperative recovery.

Comments

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The patient has extruded disc L4-5 and L5-S1. The extrusion was more pronounced in the L5-S1, but the extrusions were of the left side, for what cleaning was performed in the two levels.

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This solution could increase the estimated recurrence rate up to 14% and the prolong the postoperative recovery period.

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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 .

     

  

Skyra MRI with all clinical applications in the run since 28-Novemeber-2013.

 

[2003] [CNS CLINIC - NEUROSURGERY - JORDAN]. All rights reserved