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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 .

11-OCTOBER-2002  ALI IBRAHEEM AL-SAITEE 55 YEARS  RESIDUAL AFTER LAMINECTOMY FOR PCD C4-5, C5-6 AND C6-7 WITH PROGRESSIVE MYELOPATHIC SYNDROME.

 
 

Anamnesis

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The patient a Libyan citizen, came to the clinic 09-October-2002 complaining of neck pain for 10 years with right upper and lower limb pain for 4 years. He was operated for PCD 22-September-1998 through posterior approach elsewhere. After relative improvement, 2 months after surgery got heavy legs with spasms and Lhermitte's sign when looking down.

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On examination: The patient is limping, there is neck pain when looking for all directions and weak flexion and extension right hand and right triceps muscle. There is spastic paraparesis both lower limbs more pronounced in the right side. Rossolimo's sign positive right side and bilateral Babinski with clonus both feet.

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The patient was sent for investigation and MRI lumbar spine showed extruded disc C4-5 right side and C5-6 right side with malacia of the spinal cord and residual after posterior compression.

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Through anterior approach the level of C4-5 was identified and discectomy of C4-5 with osteophytectomy was achieved until the dura was seen at the bottom of the disc space. The same was done for C5-6 and C6-7. Using 4 level Scitex plate with screws, fusion of C4-5-6-7 was achieved. All stages were done under C-arm control. Routine closure of the wound.

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Smooth postoperative recovery. He was sent to the ward.  He showed dramatic improvement of the three limbs, disappearance of Lhermitte's sign and the spasticity decreased.

Follow Up

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The patient did not came to the clinic for follow up?

Comments  

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The aim of the surgery is to alleviate the pain, but the malacia of the spinal cord needs long time for partial recovery.

 

 

 

 

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


Inomed Riechert-Mundinger System, with three point fixation is the most accurate system in the market. The microdrive and its sensor gives feed back about the localization.


Inomed MER system

Leica HM500

Leica HM500
The World's first and the only Head mounted Microscope.
Freedom combined with Outstanding Vision, but very bad video recording and documentation.

TRUMPF TruSystem 7500

After long years TRUMPF TruSystem 7500 is running with in the neurosuite at Shmaisani hospital starting from 23-March-2014

LooksCam II in the run.
LooksCam II Xenosys in the run  starting from  14-March-2021 with SheerVision TTL x4 magnification.

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 .

 

 

 

 

 

 

 

 

 

 

 

 

 

 

WELCOME TO AL-SHMAISANI HOSPITAL

 


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