Most of the site will reflect the ongoing surgical activity of Prof. Munir Elias MD., PhD. with brief slides and weekly activity. For reference to the academic and theoretical part, you are welcome to visit
neurosurgery.fr
12-MAY-2010 BASEMA NAYEF ABU-DAWOOD 72 YEARS
SEVERE LUMBAR CANAL STENOSIS L4-5.
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Anamnesis
The
patient was
admitted to the Shmaisani hospital 12-May-2010
with clinical picture of low back pain and weak
both feet and intermittent claudication and left
sciatica.
MRI lumbar spine
performed three weeks ago showing severe lumbar
canal stenosis L4-5 with small tiny old
extrusion in the right side.
On examination the
patient has weak dorsi and planterflexion both
feet 4/5.
Decompressive
laminectomy of L4 and partial of L5 was
performed. During that check for instability was
checked and mild elements of overmobility was
noted. Foraminotomy both L5 roots was achieved.
The facets were stable. Inspection of the
annulus fibrosis ruled out the necessity of
violating the disc space of L4-5.
Smooth postoperative recovery with full recovery
of the power of both feet.
Comments
The patient has severe
lumbar canal stenosis with progressive course.
Surgical elimination of the stenosis is
preferable. The sooner the surgery, the better
the outcome.
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 .
