Inomed Stockert Neuro N50. A versatile
RF lesion generator and stimulator for
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Multigen RF lesion generator .
25-AUGUST-2004 KHALEEL ABDEL-RAHMAN KHALEEL 31
YEARS EXTRUDED DISC L5-S1 WITH RIGHT FORAMINAL OCCLUSION.
The patient came
to the clinic 23-August-2003 complaining of LBP for
2 months with right sciatica.
On examination: The patient is limping with
exaggerated scoliotic stance. SLRS was 40
degrees in the right and 80 degrees in the
left with pain. There is
weak dorsiflexion right foot 3/5 with hypalgesia
right L5 and S1 territories.
The patient was sent for investigations and MRI
done the same day showing huge extruded disc
L5-S1 more to the right.
right S1 roots with
removal of the huge 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 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. He was
sent to the ward.
The patient came to the clinic 05-Septmber-2004
with clean wound and SLRS 80 degrees both sides
without pain and neurologically free.
The estimated postoperative recurrence is still
ranking around 7%, because the disc space is
still relatively not shallow.