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22-AUGUST-2007 MARYAM HASAN SHAQFEH 59 YEARS LCS L3-4, L4-5 WITH RIGHT
SCIATICA.
Anamnesis
The patient came to the clinic 15-August-2007
complaining of LBP for 2 years with bilateral
sciatica more in the right. She could walk only
100 meters with pain.
On examination SLRS was 60 degrees left and 75
degrees in the right side with weak dorsi and
planterflexion all toes left foot and
planterflexion right foot. There is hypalgesia
both L5 roots and dysesthesia left S1 root
territory.
The patient sent for MRI and it was performed
19-August-2007 showing LCS L3-4 and L4-5 with
lateral recess syndrome.
Decompressive laminectomy of L4 with partial of
L3 and L5 was done with foraminotomy of L4 and
L5 roots both sides was performed. There was no
epidural fat in the entire field and the dura
was very tiny, that the roots could be seen
through the dura.
Routine closure and smooth postoperative
recovery and normalization of the power of the
left lower limb.
Comments
The patient has the same diagnosis as the
operation performed yesterday, but the surgery was different.
This difference coming out from the sense of the surgeon, that
he managed all the compressive elements.
The lateral recess syndrome share in the
compressing process, which must be corrected during surgery.
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 .
