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27-SEPTEMBER-2003 MUEEN HASHEM QANOQ 35 YEARS
EXTRUDED DISC L4-5 WITH DROP LEFT FOOT.
Anamnesis
The patient came to the clinic
28-Sptember-2000 complaining of neck pain with
MRI cervical spine done 03-October-2000 showing
small central disc C5-6. The patient came
several times for the same complains and treated
accordingly. The patient the came
25-Sptember-2003 telling that for 11 days he got
severe LBP with left sciatica.
On examination, the patient in agonizing pain,
limping with exaggerated scoliotic stance with
drop left foot and hypalgesia left L5 and S1
territories. SLRS was 5 degrees left side with
pain.
Decompressive laminectomy
L4-5. Foraminotomy both L5
roots was achieved. The Bilateral intradiscal cleaning L4-5 was
performed.
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 power of the
left foot slightly improved.
FOLLOW UP
The patient
came to the clinic 11-October-2003 with clean wound
and the power of the left improved with hypalgesia
left S1 territory. SLRS was 20 degrees right side
and 80 degrees left side without pain. MRI done
during this period after surgery showing no
recurrence.
Comments
There is still an
estimated postoperative recurrence around 7%,
because the disc space is still not completely
collapsed.
Skyra MRI with all clinical applications in the run since 28-Novemeber-2013.
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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
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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
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Notice: Head injuries and very urgent surgeries are also
escaped from the plan .