Inomed Stockert Neuro N50. A versatile
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Multigen RF lesion generator .
19-JULY-2004 FATMEH MUHAMED JADDALLA 55 YEARS
EXTRUDED DISC L5-S1 WITH RIGHT FORAMINAL OCCLUSION.
Anamnesis
The patient came to the
hospital with agonizing LBP with right sciatica
for 3 days, down to S1 root
territory. MRI lumbar spine
done 18-July-2004 showing huge extruded disc
L5-S1 with right foraminal occlusion.
On examination, the patient in agonizing pain,
limping with exaggerated scoliotic stance with
weak dorsiflexion right foot 3/5. SLRS was 20
degrees with pain right side and 45 degrees
left side with
pain.
Foraminotomy right S1
root was achieved with reflection and
preservation of ligamentum flavum to the left.
Right sided intradiscal cleaning L5-S1 was
performed. The patient was put in Reverse
Trendelenburg position with Valsalva maneuver
and hyperventilation. No CSF leak. A fat was
harvested from the
subcutaneous layer with pedicle and transferred and covered the exposed parts
of the root to minimize postoperative
scarring. The ligamentum flavum returned back in
place. Routine closure
of the wound.
Smooth postoperative recovery. The power of
the right foot normalized.
FOLLOW UP
The patient
came to the clinic 31-July-2004 with clean wound and no motor,
nor sensory deficit.
The patient
then came 28-September-2005 complaining of LBP with
bilateral sciatica for 7 months. MRI done
24-August-2005 showing no recurrence and
neurologically she was free. She was given
medication.
Comments
There is still an
estimated postoperative recurrence around 7%,
because the disc space is still not completely
collapsed.
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
its sensor gives feed back about the localization.
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 Xenosys in the run starting from 14-March-2021 with
SheerVision TTL x4 magnification.
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 .
