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01-APRIL-2007 AHMAD SALEEM QARAAN 65 YEARS
HUGE EXTRUDED DISC L4-5 RIGHT SIDE WITH DOWNWARD MIGRATION AND DROP
RIGHT FOOT.
Anamnesis
The patient came to the emergency of
Al-Shmaisani hospital with drop right foot and
agonizing sciatica right side for 10 days.
MRI of the lumbar spine performed 2 days ago
showed a huge extrusion of L4-5 with right
downward migration. The patient is a known
diabetic and he was put under observation for
his diabetic scale.
On examination: the patient cannot walk with
SLRS 20 degrees and drop right foot with
analgesia of the right L5 root territory.
Right L4-5 hemiflavotomy was done and the
extrusion was removed and the disc space of L4-5
was cleaned from the right side.
Routine closure of the wound and smooth
postoperative recovery with improvement of the
motor power right foot.
Comments
The extrusion was reaching the posterior
aspect of the root. It was removed and to keep the root
under visual control, the piece was removed in several
fragments.
Considering that the intradiscal material was
friable, meticulous cleaning of the disc space was performed to
decrease the rate of recurrence.
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
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Inomed MER system
Leica HM500
The World's first and the only Head mounted Microscope.
Freedom combined with Outstanding Vision, but very bad video recording and
documentation.
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 starting from 14-March-2020
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 .