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01-AUGUST-2010 SAADY AHMAD ISMAEEL 71 YEARS
LUMBAR CANAL STENOSIS L4-5 WITH INTERMITTENT CLAUDICATION.
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Anamnesis
The
patient came
to the clinic 26-July-2010 complaining of
intermittent claudication and inability to walk
more than 50-100 meters for 4 years. The
condition deteriorated the last month.
MRI lumbar spine
performed 18-July-2010 showing severe lumbar
canal stenosis at L4-5 with moderate one at
L5-S1.
On examination: the
patient start to limp after a while with
scoliotic stance and dragging the left lower
limb. SLRS was 70 degrees both sides. There is
weak dorsi and planterflexion both feet 4/5.
Decompressive laminectomy of L4 and L5 with
flavotomy of L3-4 was performed. Foraminotomy of
both L5 roots was achieved. The dura was thin
transparent, that the roots were seen through
it. There was no epidural fat along the
whole territory of decompression. There was no
signs of overmobility. Routine closure of the
wound.
Smooth postoperative recovery and
improvement of the power of both feet.
Comments
Lumbar canal stenosis is a
progressive disease and decompression must
include the recent clinically manifesting
themselves and the progressing nearby. For
that reason, decompression was achieved at L4-5
and L5-S1 levels.
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 .
