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Multigen RF lesion generator .
20-AUGUST-2003 JAMAL JAMEEL AHMAD 38
YEARS OLD EXTRUDED DISC L4-5 WITH RIGHT FORAMINAL OCCLUSION.
Anamnesis
The patient came to the clinic
19-August-2003 complaining of LBP for one year with
right sciatica to the right L5 territory. MRI
lumbar spine done 14-August-2003 showing old extruded disc
L4-5 with right foraminal occlusion.
On examination, the patient is limping with
exaggerated scoliotic stance. SLRS was 80
degrees right side with pain. There
is weak dorsi and planterflexion right foot 3/5.
Right L4-5 hemiflavotomy with
foraminotomy right L5 root. The extruded disc was
removed lateral to the right axilla using
drilling and right
sided intradiscal cleaning L4-5 was achieved.
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 patient showed improvement of the power of
his right foot.
He was sent to the ward.
FOLLOW UP
The patient
came to the clinic 31-August-2003 with clean wound.
SLRS was 85 degrees without pain right side with no
motor nor sensory deficit.
Comments
There is still an estimated postoperative
recurrence less than 7%, because the disc space
is shallow, but not completely collapsed.
Skyra MRI with all clinical applications in the run since 28-Novemeber-2013.
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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 .