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22-APRIL-2003 KAYYED FAWZI QARDEN 42
YEARS EXTRUDED DISC L4-5 WITH RIGHT FORAMINAL OCCLUSION.
Comments
The recurrence rate in this case still
ranking around 14% because the disci spaces are not completely
collapsed.
Anamnesis
The patient was operated by me 19-March-2001 for
extruded disc L5-S1 with drop right foot. The
patient improved and the sensori-motor deficit
disappeared. Then the patient came to the clinic
11-March-2003
complaining of LBP with right sciatica for 1
week. MRI lumbar spine performed 15-March-2003
showing extruded disc L4-5 with no recurrence at
L5-S1.
On examination: the patient in pain,
limping with exaggerated scoliotic stance. SLRS
was 60
degrees with pain right side and 80 degrees with
pain shooting to the right side. There is no
weakness nor sensory deficit.
The patient was sent for investigations and MRI
lumbar spine performed 16-April-2003 showing
huge extruded disc L5-S1 central more to the
right. There is lumbarization of S1.
Decompressive laminectomy L4-5 with
extended foraminotomy both L5 roots with scarolysis
of the adjacent below surgery. The extruded disc
of L4-5 was
attacked from the left axilla and bilateral cleaning
of L4-5 was achieved until the roots became
lax. 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 disappeared and the power of the
right
foot normalized. He was sent to the ward.
Follow Up
The patient came to the clinic 03-May-2003
with clean wound with no sensory or motor
deficit. SLRS was 50 degrees without pain.
Skyra MRI with all clinical applications in the run since 28-Novemeber-2013.
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Leica HM500
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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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LooksCam II Xenosys in the run starting from 14-March-2021 with
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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 .
