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Inomed Stockert Neuro N50. A versatile
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Multigen RF lesion generator .

03-AUGUST-2004  HANAN FUAD MUHAMED 45 YEARS SPONDYLOLISTHESIS L5-S1 WITH BILATERAL ISTHMOLYSIS.

 

Anamnesis

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The patient came to the clinic 25-July complaining of LBP for more than 10 years with progressing course with right sciatica for 2 years . Inability to walk more then 100 meters.

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On examination: The patient is limping with exaggerated scoliotic stance. SLRS was 50 degrees in the right  and 80 degrees in the left with pain. There is weak dorsiflexion both feet 3/5 with hypalgesia right L5 and S1 territories.

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The patient was sent for investigations and MRI done 27-July-2004 showing spondylolisthesis L5-S1 with extruded disc more to the right. Dynamic studies showed II degree spondylolisthesis with bilateral isthmolysis.

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Foraminotomy both S1 roots with removal of the extrusion lateral to the axilla from the right side. After that, the root became lax and right sided intradiscal cleaning L5-S1 disc space was done. The flail facets were removed both sides. Using monoaxial screws to L5 and S1 fusion of L5 and S1 was achieved. The harvested bone was milled and applied lateral to the rods after reduction and distraction. The patient was put in Reverse Trendelenburg position with Valsalva maneuver and hyperventilation. No CSF leak. A fat in pedicle was transferred from the subcutaneous layer and covered the exposed parts of the dura and roots to minimize postoperative scarring. Routine closure of the wound. Smooth postoperative recovery. The power of the right foot became normal. She was sent to the ward.

FOLLOW UP

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The patient came to the clinic 13-August-2004 with clean wound and SLRS 80 degrees both sides without pain and neurologically free.

 

Comments

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The case is one of the early applications of this brand of screw fixation.

 

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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