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12-AUGUST-2009 RAHMEH MAHMOUD SAMMUR 59 YEARS
LUMBAR CANAL STENOSIS L2-3, 3-4, 4-5 AND FORAMINAL STENOSIS LEFT S1 ROOT.
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Anamnesis:
The patient came to the
clinic 05-August-2009 complaining of LBP with
bilateral sciatica with inability to walk more
than 10 meters.
The patient was operated by
me for cervical canal stenosis 28-December-2003
with fusion of C3 down to C6.
MRI lumbar spine
performed 21-April-2009
showed stenosis of L2-3,
3-4, 4-5 and foraminal
stenosis of left S1 root
On examination: the
patient is unable to
stand to evaluate the
scoliotic stance and
Romberg signs. SLRS was
70 degrees in the right
and 10 degrees in the
left. Weak dorsiflexion
both feet 3/5 with weak
planterflexion right 4/5
and left foot- 3/5.
Decompressive
laminectomy of L3-4-5
and partial of L2 with
foraminotomy of all
running nerves was
achieved. The epidural
fat was missing at all
levels and the dura was
transparent. Check for
further compression was
negative.
Routine closure of the
wound and smooth
postoperative recovery
with normalization of
the power of both feet.
Comments
Spinal canal stenosis can be
at different locations and in combination as in
this case. She was operated 6 years ago for
cervical canal stenosis and now for lumbar canal
stenosis. Usually the stenosis is multilevel in
all sites of major involvement.
Lumbar canal stenosis is a
progressive disease and surgery is better to
perform early in case of progression.
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 .
