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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-MAY-2008  ALI ISSA AL-HARITHY  47 YEARS  EXTRUDED DISC L4-5 WITH LEFT DOWNWARD MIGRATION.

Anamnesis:

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The patient came to the emergency of Al-Shmaisani hospital 28-May-2008 complaining of LBP with left sciatica for 8 years. Exacerbation of sciatica the last 3 days with limping and difficult walking and positive cough sign.

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MRI lumbar spine performed 28-May-2008 showed extruded disc L4-5 with left downward migration.

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On examination: the patient in agonizing pain with exaggerated scoliotic stance. SLRS was 25 degrees in the left with pain. There was weak dorsi and planterflexion left foot 3/5.

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Left L4-5 hemiflavotomy with foraminotomy of left L5 root was performed. The extruded disc was removed lateral to the axilla. Meticulous cleaning of the disc space from the left side. Inspection under the axilla and the foramen for remnants.

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The epidural fat was kept untouched through the operation.

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Routine closure of the wound with prompt recovery of the power of left foot.

Comments

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The recurrence rate is below 7% in this case, because the disc space was shallow and the defect in the annulus fibrosis is minimal.

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Preserving the epidural fat minimize the incidence of postoperative fibrosis.

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

 


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 .

     

  

[2008] [CNS CLINIC - NEUROSURGERY - JORDAN]. All rights reserved