Inomed Stockert Neuro N50. A versatile
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Multigen RF lesion generator .
09-SEPTEMBER-2004 NOOR MUHAMED AWWAD 45 YEARS HUGE
EXTRUDED DISC L4-5 WITH BILATERAL DROP FEET.
Anamnesis
The patient a Yemeni citizen came to the clinic
08-September-2004 complaining of LBP for 2 years with
right sciatica for 9 months, then left foot pain
last month. MRI lumbar spine done
30-June-2004 showing huge extruded disc L4-5.
On examination: The patient is limping with
exaggerated scoliotic stance. SLRS was 80
degrees both sides with pain. There is almost drop
both feet with weak planterflexion both feet 3/5.
Foraminotomy
both L5 roots with
removal of the huge extrusion from under the
right axilla, then
from both sides lateral to the axilla. After
that, the roots became lax and bilateral
intradiscal cleaning L4-5 disc space was done.
The patient was put in Reverse Trendelenburg
position with Valsalva maneuver and
hyperventilation. No CSF leak. A fat in pedicle was
transferred from the subcutaneous layer and
covered the exposed parts of the dura and roots
to minimize postoperative scarring. Routine
closure of the wound. Smooth postoperative
recovery. The power of the feet
dramatically improved.
She was
sent to the ward.
FOLLOW UP
The patient came to the clinic 19-Septmber-2004
with clean wound and SLRS 80 degrees both sides
with no pain and normal power and sensation.
Comments
The estimated postoperative recurrence is still
ranking around 7%, because the disc space is
still relatively not 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
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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
SheerVision TTL x4 magnification.
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 .
