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16-SEPTEMBER-2002 AHMAD HUSSEIN JEBREEL
28 YEARS EXTRUDED DISC L5-S1 RIGHT SIDE.
Anamnesis
The patient a West Palestinian citizen came to the clinic
10-Dptember-2002
complaining of LBP with right sciatica for 2 months.
On examination: The patient in agonizing pain,
limping with exaggerated scoliotic stance.
SLRS
45 degrees
with pain in the right and 60 degrees in the
left with less pain. There is severe weak dorsi planterflexion
right foot 3/5, with hypalgesia right
L5 and S1 territories.
He was sent for investigations and MRI lumbar
spine performed 11-Sptember-2002 showing huge
extruded disc L5-S1 wide based more to the right.
Right S1 foraminotomy with removal of the
extrusion lateral to the axilla from the
right. Right sided intradiscal cleaning L5-S1.
There was a tiny dural defect at the upper part
of the dura, which was stitched. 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 right foot improved.
He was sent to the ward.
Follow Up
The patient came to the clinic 25-September-2002
with clean wound and neurologically free with
SLRS 80 degrees without pain both sides.
Comments
There is still an estimated postoperative
recurrence around 7%, because the disc space is still not
shallow.
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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 .