Inomed Stockert Neuro N50. A versatile
RF lesion generator and stimulator for
countless applications and many uses
Multigen RF lesion generator .
15-SEPTEMBER-2004 FUAD SALEM ABDALLA FAKHURI
60 YEARS SPONDYLOLISTHESIS L4-5 WITH BULGE DISC L4-5.
Anamnesis
The patient came
to the clinic 06-September-2004 complaining of
LBP for 4 months with bilateral sciatica more
the right down to L5 territory both sides. The
patient is hypertensive for 16 years in
treatment. MRI lumbar spine performed
26-April-2004 showing bulge L1-2 left side
and mild spondylolisthesis L4-5 with severe
stenosis and central extrusion L5-S1.
On examination: The patient is limping
with exaggerated scoliotic stance. SLRS was 30
degrees right side with pain and 45 degrees left
side with pain. There is
weak dorsiflexion both feet 3/5.
Decompressive laminectomy L5
and upper edge of the sacrum and lower half of L4 with foraminotomy both
L5
and S1 roots was done. The disci of L4-5
and L5-S1 were
inspected and not removed because they were hard,
immobile. Check for
instability was negative. The subcutaneous fat
was harvested with pedicle and transferred to
the dura to decrease the postoperative scar
formation.
Routine closure of the wound.
Smooth postoperative recovery. The power of
the feet improved.
FOLLOW UP
The patient
came to the clinic 29-September-2004 with clean wound
and normal power of both feet. SLRS was
30 degrees left side
with pain.
The patient
then came 16-December-2004 telling that he got
right sciatica the last 4 days. SLRS was 5 degrees
right side with pain and weak dorsiflexion right
foot 4/5. MRI lumbar performed 18-December-2004
showing ganglion from the right L4-5 facet joint and
he was treated conservatively.
Comments
The lumbar canal stenosis when not progressing
and the patient in good shape, we put him under
observation, since progress and deterioration
happens, surgery is mandatory.
In case of gross overmobility fusion of the
segment is mandatory, but here it was so minimal
that it was ignored.
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 .
