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Multigen RF lesion generator .

15-SEPTEMBER-2004  FUAD SALEM ABDALLA FAKHURI 60 YEARS SPONDYLOLISTHESIS L4-5 WITH BULGE DISC L4-5.

 

Anamnesis

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The patient came to the clinic 06-September-2004 complaining of LBP for 4 months with bilateral sciatica more the right down to L5 territory both sides. The patient is hypertensive for 16 years in treatment. MRI lumbar spine performed 26-April-2004  showing bulge L1-2 left side and mild spondylolisthesis L4-5 with severe stenosis and central extrusion L5-S1.

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On examination: The patient is limping with exaggerated scoliotic stance. SLRS was 30 degrees right side with pain and 45 degrees left side with pain. There is weak dorsiflexion both feet 3/5.

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Decompressive laminectomy L5 and upper edge of the sacrum and lower half of L4 with foraminotomy both L5 and S1 roots was done. The disci of L4-5 and L5-S1 were inspected and not removed because they were hard, immobile. Check for instability was negative. The subcutaneous fat was harvested with pedicle and transferred to the dura to decrease the postoperative scar formation.

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Routine closure of the wound. Smooth postoperative recovery. The power of the feet improved.

FOLLOW UP

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The patient came to the clinic 29-September-2004 with clean wound and normal power of both feet. SLRS was 30 degrees left side with pain.

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The patient then came 16-December-2004  telling that he got right sciatica the last 4 days. SLRS was 5 degrees right side with pain and weak dorsiflexion right foot 4/5. MRI lumbar performed 18-December-2004 showing ganglion from the right L4-5 facet joint and he was treated conservatively.

 

Comments

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The lumbar canal stenosis when not progressing and the patient in good shape, we put him under observation, since progress and deterioration happens, surgery is mandatory.

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In case of gross overmobility fusion of the segment is mandatory, but here it was so minimal that it was ignored.

 

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 .


 

 

 

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