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Multigen RF lesion generator .
05-JUNE-2007 NIZAR MUHAMED SALEM 32 YEARS EXTRUDED DISC L4-5 WITH LEFT
DOWNWARD MIGRATION.
Anamnesis
The patient came to the clinic 03-June-2007
complaining of LBP with left sciatica for three
months with pain and numbness down to left L5
root territory. The patient had normal
stance, but limping, as dragging the left foot.
On examination: the patient had severe weak
dorsiflexion left foot 3/5 with hypalgesia of
the left L5 root territory. SLRS was 70 degrees
in the right and 60 degrees with shooting pain
in the left.
MRI of the lumbar spine performed 29-May-2007
showing extruded disc L4-5 with left downward
migration.
Left L4-5 hemiflavotomy with left L5 root
foraminotomy was performed and the extruded disc
was removed lateral to the axilla. It was
adherent to the root, that piece-meal resection
was achieved.
Meticulous cleaning of the disc space from the
left side was performed.
Routine closure of the wound and fat transfer to
epidural space
Smooth postoperative recovery and normalization
of the power of the left foot.
Comments
The patient is very fat with weight 135 Kg
and the thickness of the subcutaneous fat layer was around 20
cm. This factor made most of the usual instrumentations useless
and unreachable to perform surgery. Using the percutaneous set
and the transsphenoidal instrumentation, made it possible to
perform such surgery.
The heavy weight of the patient and the still
high disc space of L4-5, despite the meticulous cleaning of the
disc space, make expected recurrence more than the average.
Skyra MRI with all clinical applications in the run since 28-Novemeber-2013.
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Leica HM500
The World's first and the only Head mounted Microscope.
Freedom combined with Outstanding Vision, but very bad video recording and
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After long years TRUMPF TruSystem 7500 is running with in the neurosuite at
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Notice: Not all operative activities
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Notice: Head injuries and very urgent surgeries are also
escaped from the plan .
