On examination: the patient limping when
walking. SLRS was 80 degrees with pain in the
left. The patient had hypalgesia both L5 roots
with weak dorsi and planterflexion both feet
4/5.
Wide bilateral flavotomy L5-S1 was done with
foraminotomy both S1 roots. The dura was very
thin and transparent. The extruded disc was
removed from the right side and inspection of
the left side was performed. Right sided
cleaning of the disc space was achieved.
Routine closure of the wound and smooth
postoperative recovery with improvement of the
motor power both feet.
Comments
Considering that the extruded disc was
central and the left side was more affected. Bilateral
foraminotomy with inspection both sides must be done.
The extruded disc was removed from the
most prominent side and after left sided cleaning inspection
of the annulus fibrosis confirmed no presence for extrusion
or bulge in the right side, for what right-sided cleaning
was not performed to decrease the rate of recurrence.
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 in the run starting from 14-March-2020
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 .
