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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 .

12-JUNE-2004  IMAD MUHAMED SANAD 39 YEARS EXTRUDED DISC L4-5 WITH SEGMENTAL STENOSIS.

 

Anamnesis

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The patient came to the clinic 24-May-2004 complaining of LBP with right sciatica for 6 years with exacerbation last week down to S1 root territory. MRI lumbar spine done 30-March-2004 showing huge extruded disc L5-S1 with right downward migration and extruded disc L4-5.

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On examination, the patient in agonizing pain, limping with exaggerated scoliotic stance with weak dorsiflexion right foot 4/5 with hypalgesia right L5 and S1 territories. SLRS was 40 degrees with pain both sides.

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The patient was sent for investigations and MRI lumbar spine done 01-June-2004 showing huge extruded disc L4-5 with segmental stenosis and small old extrusion L5-S1.

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Decompressive laminectomy L4-5 with foraminotomy both L5 roots. Bilateral removal of the extrusion and bilateral intradiscal cleaning L4-5 disc space. The patient was put in Reverse Trendelenburg position with Valsalva maneuver and hyperventilation. No CSF leak. A free fat was harvested 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 normalized.

FOLLOW UP

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The patient came to the clinic 05-July-2004 with clean wound and no motor, nor sensory deficit. SLRS was 80 degrees both sides without pain.

 

Comments

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There is still an estimated postoperative recurrence around 7%, because the disc space is still not completely collapsed.

 

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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