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Multigen RF lesion generator .
26-AUGUST-2003 ZAINA FARIS AL-KHZOOZ 48
YEARS EXTRUDED DISC L3-4 WITH RIGHT UPWARD MIGRATION.
Anamnesis
The patient a doctor came to the clinic
24-August-2003 complaining of LBP for 2 weeks with
right sciatica to the right knee. MRI
lumbar spine done 22-August-2003 showing extruded disc
L3-4 with right upward migration.
On examination, the patient is limping with
exaggerated scoliotic stance. SLRS was 50
degrees right side with pain. There
is weak dorsi and planterflexion right foot 3/5.
Right L4-5 hemiflavotomy with
foraminotomy right L5 root. The extruded disc was
removed subaxillary to the right axilla and the
upward migrating piece was removed lateral to
the axilla and right
sided intradiscal cleaning L3-4 was achieved.
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 patient showed improvement of the power of
her right foot.
She was sent to the ward.
FOLLOW UP
The patient
came to the clinic 07-September-2003 with clean wound.
SLRS was 85 degrees without pain right side with no
motor nor sensory deficit.
Comments
There is still an estimated postoperative
recurrence less than 7%, because the disc space
is shallow, but not completely collapsed.
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
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
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Notice: Not all operative activities
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Notice: Head injuries and very urgent surgeries are also
escaped from the plan .
