Inomed Stockert Neuro N50. A versatile
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Multigen RF lesion generator .
29-DECEMBER-2003
WALEED MUHAMED AWWAD 42 YEARS EXTRUDED DISC L4-5 WITH LEFT DOWNWARD MIGRATION.
Anamnesis
The patient came to the clinic 25-December-2003 complaining of
LBP with left
sciatica for 2 months with
numbness of the left foot. CT-scan lumbar spine done
1 week ago showing
extruded disc L4-5 with left foraminal
occlusion. The patient refusing to perform MRI.
On examination: The patient is limping with
exaggerated scoliotic stance. SLRS was 50 degrees in the
left with pain. There is
weak dorsiflexion and
planterflexion left foot 3/5 with hypalgesia
left L5 and S1 territories.
Decompressive laminectomy
L4-5 with left L5 foraminotomy with
removal of the extrusion. After
that, the roots became lax and left sided
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 free fat was
harvested from the subcutaneous layer and
covered the exposed parts of the root. to
minimize postoperative scarring. Routine closure
of the wound. Smooth postoperative recovery. The
power of the left foot became normal.
FOLLOW UP
The patient came to the clinic 09-Januuary-2004
with clean wound and SLRS 80 degrees left side
without pain and no motor, nor sensory deficit.
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 .
