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05-SEPTEMBER-2007 SAMYAH SALEM YOUSEF 52
YEARS DORSO-LUMBAR CANAL STENOSIS.
Anamnesis
The patient came to the clinic 19-August-2007
complaining of right hip pain and right sciatica
with numbness of right L5 root territory for 3
weeks. She is unable to walk for long distances
with intermittent claudication. The patient was
operated 1992 for LCS.
On examination: SLRS was 80 degrees in the right
with pain. with weak dorsiflexion right foot.
MRI performed 21-August-2007 showing severe LCS
extending from D10-11, down to L4-5. The patient
was sent to perform MRI dorsal spine to rule out
more rostral stenosis , which was negative.
Decompressive laminectomy D11 and partial of D10
and D12 was done and all compressive elements
were removed.
Laminectomy of L5 and L2 and partial of L1 was
done, and drilling of all compressive elements
were removed. Routine closure.
Smooth postoperative recovery and normalization
of the power of right foot.
Comments
The patient underwent surgery 14 years
ago for LCS L3-4. The condition escalated, that the stenosis
was total to include the lower dorsal spine.
The previously decompressed level at L3-4 was
so narrow, that decompression was needed also.
Preservation of the D12 and part of L1
laminae was attempted to preserve more or less acceptable
alignment of the spine.
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
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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 .