Inomed Stockert Neuro N50. A versatile
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Multigen RF lesion generator .
25-MARCH-2018 MUHAMED KHALEEL ALI MANSOUR EXTRUDED
DISC C5-6 WITH RIGHT FORAMINAL OCCLUSION AND BULGE DISC C6-7.
Anamnesis
The patient came to the clinic 24-March-2018
complaining of neck pain for 1 week with right
upper limb pain with numbness of
the right hand the last day. The patient performed MRI
cervical spine 24-March-2018 showing extruded
disc C5-6 with right foraminal occlusion and
bulge C6-7. The patient underwent transpedicular
fixation L3,4,5 2013 elsewhere with broken lower
screws.
On examination; the patient has severe pain when
turning the head to both sides more to the
right, and up. Turning the head to the chest
relief the pain. There is weak grip and extension of the right hand 4/5
and right triceps 4/5. There is hypalgesia
little finger right hand. There is weak
dorsiflexion both feet 4/5.
The patient was sent for investigation and lab
investigations were normal.
Discectomy C5-6 until the dura was seen at both
sides. ON PLUS (EOS) Cervical
bladed cage 14x17 H7 with IN'OSS 2x0.5 ml inserted to C4-5 level. Routine closure of the
wound.
Smooth postoperative
recovery. The power of the right upper limb
normalized and the radicular pain disappeared. He was sent to the ward.
Comments
The patient has an extruded disc
which is not subsiding. Surgical decompression is the only
solution.
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
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 .