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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 .

 

29-AUGUST-2009  QASEM ABDEL-KAREEM YOUSEF  62 YEARS  BURST FRACTURE L2 AND WEDGING OF L1 WITH INABILITY TO SET AND WALK AND PARAPARESIS BOTH LOWER LIMBS.

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 24-August-2009 complaining of inability to set and walk after falling down from 150 cm height 45 days ago. The patient was admitted to the University hospital and sent home undiagnosed.

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MRI lumbar spine performed 22-August-2009 showing burst fracture of L2 and wedging of L1.

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The patient could walk with the help of 2 persons and he could set with his upper arms elevating the body. He had weak both lower limbs 4/5 without sensory deficit.

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Skeletonization of D11-12-L1-2-3 and L4  was performed, preserving during that the spinous processii and interspinous ligaments. Using Medtronic sublaminar hooks and rods distraction reduction was achieved and fusion was performed between D11-12 and L3 and L4.

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Medtronic Bicalphos  granules 20 cc 1.6-3.2 mm was applied into both sides after decortication of the bones mainly to the D12 L2 levels.

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Routine closure of the wound and smooth postoperative recovery and the patient sent to the ward.


Comments

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The patient has burst fracture of L2 with the patient unable to walk or set down with agonizing pain. Fixation was mandatory 2 levels above and 2 levels below the affected lesion which was the fractured L1 and L2.

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This granules were inserted in case that the construct suffer fatigue and ossification will help in stabilizing the fractured bones.


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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 .

     

  

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