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Item #exh6174 — Source #1
|L4-5 Disc Herniation with Discectomy and Fusion Procedures - Medical Illustration, Human Anatomy Drawing
|This series of medical illustrations depicts back surgery, specifically an L4-5 disc herniation with lumbar discectomy (diskectomy) and spinal fusion. The first illustration depicts the pre-operative condition, including disc herniation at L4-5. Other labeled structures in this image include the spinous process, cauda equina, vertebral body and intervertebral disc. The first image of the discectomy and fusion procedures shows the creation of a posterior incision in the middle of the lower back, exposing the L4-5 interspace. The second drawing depicts the removal of the laminae and the herniated disc material from the L4-5 interspace. The third procedural image shows the completion of the laminectomy and placement of fusion hardware. Labeled structures include pedicle screws and rods. The fourth drawing shows the completion of the fusion with the placement of fusion hardware, including titanium rods and an interbody cage. The final image shows the post-operative condition of the lumbar spine, including the location of the fusion hardware and the interbody cage with bone graft.|
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Morrow and Otorowski
Bainbridge Island, Washington
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milliseconds after rear impact, or a proposed lumbar fusion, the Doe Report
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training, and your expert testimony becomes a pleasure, even on cross
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Richard E. Seroussi M.D., M.Sc.
Diplomate, American Boards of Electrodiagnostic Medicine and PM&R
Seattle Spine & Rehabilitation Medicine
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[my client's] construction accident case for $4.5 million. Immediately after
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with [my client's] devastating injuries. They also expressed their gratitude
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Michael Gunzburg, Esq.
Attorney at Law.
New York, NY
|"Thank you for the splendid medical-legal art work you did for us in the
case of a young girl who was blinded by a bb pellet. As a result of your
graphic illustrations of this tragic injury, we were able to persuade the
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$475,000.00, just short of their policy limits.
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repeat, was of superlative character, and to let you know that we would be
more than willing to serve as a reference in case you ever need one. Many
thanks for an extraordinary and dramatic depiction of a very serious injury
which clearly "catapulted" the insurance company's offer to a "full and
fair" amount to settle this case."
Philip C. Coulter