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08-MARCH-2003 IMAN ISAM SHARKAS 39 YEARS
EXTRUDED DISC L5-S1 RIGHT SIDE.
Comments
The recurrence rate in this case still
ranking around 7% because the disc space is not completely
collapsed.
Anamnesis
The patient came to the clinic 05-February-2003
complaining of LBP after RTA 16-January-2003
with fracture D9 with right sciatica
down to the big toe. MRI done 17-February-2003 showing
extruded disc L5-S1 with right downward
migration.
On examination: the patient in pain,
limping with exaggerated scoliotic stance. SLRS
was 80 degrees with pain right side. There is
dorsi and planterflexion right foot 4/5 with
hypalgesia right L5 and S1 roots territories.
Right sided hemiflavotomy L5-S1
with foraminotomy right S1 root. The extruded disc was
attacked from the right and right sided cleaning of
L5-S1 was done. 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 radicular pain decreased and the power of right
foot normalized. She was sent to the ward.
Follow Up
The patient came to the clinic 22-March-2003
with clean wound normal motor and sensory
functions.
The patient then came several times for legal
reports and the last
visit was 18-August-2003 complaining of numbness
right foot with dysesthesia right S1 territory.
She was treated conservatively.
Skyra MRI with all clinical applications in the run since 28-Novemeber-2013.
Inomed Riechert-Mundinger System, with three point
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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
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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 .