Inomed Stockert Neuro N50. A versatile
RF lesion generator and stimulator for
countless applications and many uses
Multigen RF lesion generator .
20-FEBRUARY-2002 DR. ISAM AL-THAHBANI 35 YEARS
EXTRUDED DISC L4-5 LEFT FORAMINAL OCCLUSION.
Anamnesis
The patient a Yemeni doctor, came
to the clinic 14-February-2002 complaining of
LBP for 2 months with left sciatica down to the
knee.
MRI lumbar spine performed 14-February-2002
showing extruded disc L4-5 with left foraminal
occlusion. The patient was advised to be treated
conservatively, but he insisted to undergo
surgery.
On examination: The patient is in agonizing
pain, limping with exaggerated scoliotic stance.
SLRS was 50 degrees with pain in the left. There
is weak dorsiflexion left foot -4/5.
Left L5 foraminotomy with preservation the
spinous processii and interspinous ligament and
most of ligamentum flavum with removal of the
extrusion lateral to the axilla. Left sided
intradiscal cleaning L4-5 disc space.
The patient was put in Reverse
Trendelenburg position with Valsalva maneuver and
hyperventilation. No CSF leak. Routine closure of
the wound.
Smooth postoperative recovery.
The power of the left foot improved.
He was sent to the ward.
Follow Up
The patient came to the clinic 28-February-2002
with clean wound, SLRS 75 degrees in the left
with no senso-motor deficit.
Comments
The patient still have an estimated
postoperative recurrence around 7%, because the
disc space still not shallow.
Skyra MRI with all clinical applications in the run since 28-Novemeber-2013.
Leica HM500
The World's first and the only Headmounted Microscope.
Freedom combined with Outstanding Vision and very bad MRSD4 quality.
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 .
