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Multigen RF lesion generator .

 

30-AUGUST-2008  AHMAD BADER SADER  38 YEARS  PLD L4-5 WITH LEFT SIDED EXTRUSION.

Anamnesis:

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The patient came to the clinic 20-August-2008 complaining of LBP for 2 years and left sciatica for 4 months.

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On examination: the patient dragging the left leg with exaggerated scoliotic stance and limping. SLRS was 50 degrees in the left with pain. There is weak dorsiflexion left foot -4/5.

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MRI performed 21-August-2008 showed PLD L4-5 with left sided extrusion with bulge L5-S1.

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Left L4-5 hemiflavotomy with foraminotomy of left L5 root was performed. The extruded disc was removed and meticulous cleaning of the disc space was performed from the left.

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Routine closure of the wound and smooth postoperative recovery with normalization of the power of the left foot.

Comments

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The expected recurrence rate in this case is around the average, because the disc space still not shallow.

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Local transfer of the epidural fat is the best choice to cover the exposed root, to minimize the postoperative fibrosis.

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