Inomed Stockert Neuro N50. A versatile
RF lesion generator and stimulator for
countless applications and many uses
Multigen RF lesion generator .
23-DECEMBER-2004 NOFA ABED MUSA 46 YEARS
EXTRUDED DISC L3-4 RIGHT DOWN MIGRATED.
Anamnesis
The patient came to the clinic 19-December-2020
complaining of LBP with left
sciatica for 3 weeks with left
sciatica down to all toes left
foot. MRI lumbar spine performed
05-December-2020 showing extruded disc L4-5
with left upward migration.
On examination: The patient is in agonizing
pain, limping with exaggerated scoliotic stance.
There is weak dorsiflexion left foot -4/5,
planterflexion same foot 4/5. SLRS was 10 degrees with pain left
side. There is hypalgesia left L5, S1
territories.
The patient was sent for investigations and WBC
in urine was 450 and no bacteria was found. The patient was
advised to start Zinnat 500 mg twice daily
before the surgery.
Extended left L5 foraminotomy
with removal of the left far upward migrating extrusion and left sided
intradiscal cleaning of L4-5. Using MultiGen,
bipolar motor stimulation of the left L5 root was
achieved with 1.1 Volts. A bipolar pulsed mode RF
with 42 Celsius, 240 sec, 2 Hz and 20 msec duration
to the left L5 root was achieved using 2
bended catheters 10 mm exposed length. Further
bipolar motor stimulation of the left L5 root was
achieved with 1.1 Volt. 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 improved.
She was sent to the ward.
Comments
There is still an estimated postoperative
disc recurrence around 7%, since the disc space is not
completely shallow.
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 .
