Inomed Stockert Neuro N50. A versatile
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Multigen RF lesion generator .
06-JANUARY-2005 FUAD KHALIL ALI 39
YEARS EXTRUDED DISC L5-S1 WITH RIGHT FORAMINAL OCCLUSION.
Anamnesis
The patient came to the clinic 02-January-2005 complaining of right
sciatica for 3 years with exacerbation last 3 weeks.
On examination: The patient is in agonizing
pain, limping with exaggerated scoliotic stance.
There is weak dorsiflexion right foot -4/5,
planterflexion same foot 4/5. SLRS was 80 degrees with pain
right
side. There is hypalgesia right L5
and S1 territories.
The patient was sent for investigations and MRI
lumbar spine performed 04-January-2005 showing
extruded disc L5-S1 with fragment stabbing the
right S1 root.
Extended right S1 foraminotomy
with removal of the right extrusion part subaxillary
and part Lateral to the axilla with right sided
intradiscal cleaning of L5-S1. 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 16-January-2005 with dramatic
improvement with SLRS 90 degrees right side and he was
neurologically free.
Comments
There is still an estimated postoperative
disc recurrence around 7%, since the disc space is not
completely shallow.
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 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 .