Neurosurgery phrase s/l X linked bone graft extender?

• Neurosurgery phrase s/l X linked bone graft extender? - xoxo
  • could be "matrix" bone graft extender - but not 100% - mmk

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The patient had rectus reflap which was in the midportion of the left tibia.

Is this correct and if so can you explain it to me?

She had a minimally invasive approach of right far lateral decompression of L5 nerve root, removal of facet, a transforaminal interbody fusion of L5-S1 using cage and also BMP and posterior-lateral instrumention using the SIA pedicle screws and also the percutaneous fossa bone mark facet screw system with harvest of a togus bone graft in the same incision. 

Anyone want to take a crack at proofing this and guessing what a "togus" bone graft might be? 

Interpore s/l "coral in" bone graft substitute was used.

Pt was admitted for anterior disectomy and fusion at C3-4.

"...*dictation cuts out* ...cogenous bone graft from her left anterior iliac crest bone was placed at the fusion site." 

There may be an L, as is lycogenous or gly..the only part that is really good (which the whole dictation is difficult to hear) is the "cogenous"  Thanks for your thoughts!

that is implanted.

Kiel bone® grafts. This material is calf or ox bone which has been denaturated.

It sounds like "gamminifradiant" surgery on a left basal ganglion surgery.

However it has been a very LONG weekend and I know this is not right but am stuck.

Patient taken to the operating room and underwent a right s/l tereonal craniotomy

I can't find "tereonal"

Patient admitted for cerebellar hemorrhage.

Under procedures:  posterior s/l "pathocraniectomy", evacuation of right cerebellar hemispheric intraparenchymal hemorrhage and s/l "drill" or "dural" augmentation - dictator is a mumble mouth

s/l TEETS?   The aneurysm was noted to be pointing anteriorly.  There were 2 extensions forming TEETS?  One of these appeared to be where the aneurysm had bled. It was densely adherent to the left A2 segment. 

Thanks

He has mild­-to-­moderate spinal stenosis at the L2-­3 level, as well as ____________ with some neuroforaminal encroachment.

This sounds like opraparbobo - granted she is a mush mouth.

Thank you.

s/l anulex.  doc sentence is as follows:  we do attempt to close the annular defect (he is working at the L5-S1 level) with an anulex x-close system (stutter?? states "x" twice)  

Help!  I tried several places and spellings!!

I cannot find this anywhere!  s/l Metrex (not the vitamins) for an interbody fusion procedure of the lumbar spine.  Have any of you had this??

Thanks!  

In an operative report for a cervical laminectomy and fusion, the doc says "the screw holes that had been placed were placed using the s/l Howard On technique with 30 degrees lateral and 15 degree cephalad angulation from the center-center position.

Maybe the word I'm looking for is Howard An because it sounds like he say a-n right after he says the word technique, as if he's spelling An for me.  I can't document this anywhere in my Google search efforts though.

The phrases are:

thin "pledge" of Gel foam

L5 root and "flacum"

Neurosurgery term:  Sounds like "2-0 up-curette?" 

S/l "neuro spung Gelpi" self-retaining retractors.

Help is greatly appreciated.

This sounds new - sounds like a "Bengal" cage.  It's not in my Stedman's Surgical Words, Third Edition, not in my Stedman's on line.  I tried Googling it, which usually works, could not find anything.  Does anyone know the proper spelling for this? - Thanks!

Neurosurgery

she says

cervical spinal cord edema extending up to the s/l (level of the duns.)