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12-APRIL-2003 MUHAMED GHAZI QASEM 51 YEARS
EXTRUDED DISC L4-5 WITH BILATERAL FORAMINAL OCCLUSION.
Comments
The recurrence rate in this case still
ranking around 7% because the disc space is not completely
collapsed.
Anamnesis
The patient came to the
clinic 07-January-2003
complaining of LBP with bilateral sciatica more
to the right for 2 years with exacerbation of pain the last
8 months. MRI lumbar spine performed
31-March-2002 showing huge extruded disc L4-5
central more to the right.
On examination: the patient in agonizing pain,
limping with exaggerated scoliotic stance. SLRS
was 90 degrees with pain right side and 90
degrees with pain left side. There is
weak dorsi and planterflexion both feet, more
the right.
The patient was sent for investigation and MRI
lumbar spine performed 08-January-2003 showing huge extruded disc L4-5
with compression of both roots more the right.
Bilateral flavotomy L4-5 with
extended foraminotomy both L5 roots. The extruded disc
of L4-5 was
attacked from the right and right sided intradiscal
cleaning done. Then left sided cleaning with
alternate bilateral cleaning until the root s 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 decreased and the power of both
feet improved. He was sent to the ward.
Follow Up
The patient came to the clinic 23-April-2003
with clean wound with no sensory or motor
deficit.
Skyra MRI with all clinical applications in the run since 28-Novemeber-2013.
Inomed Riechert-Mundinger System, with three point
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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
documentation.
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
can be recorded due to lack of time.
Notice: Head injuries and very urgent surgeries are also
escaped from the plan .
