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
17-MARCH-2010 AHMAD IBRAHEEM ABDEL-QADER 33 YEARS
EXTRUDED DISC L2-3 WITH SECONDARY LUMBAR CANAL STENOSIS.
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Anamnesis
The
patient was transferred from another hospital
19-March-2010 with a history of LBP for 1 month
and right sciatica for 1 week with
inability to walk.
MRI lumbar spine
performed 16-March-2010 showing extruded disc
L2-3 with secondary canal stenosis at this
level.
On examination: the
patient is unable to walk with agonizing right
sciatica. SLRS was 30 degrees in the right and
40 degrees in the left. There is weak
dorsiflexion right foot 3/5 left foot 4/5 and
planterflexion right foot 4/5 and abduction left
knee 4/5. There is hypalgesia below the right
knee. Normal micturiton and defecation.
Using image-intensifier, the
L2-3 level was identified. Bilateral flavotomy
of L2-3 was performed and bilateral cleaning of
the disc space and removal of the extrusion from
L2-3 space was achieved.
Routine closure of the wound.
Smooth postoperative
recovery, and the power of both legs became
normal.
Comments
Extruded disc associated with
lumbar canal stenosis have cumulative effect in
compressive trauma to the neural tissues, which
necessitate urgent neurosurgical intervention.
Bilateral cleaning of the
disc space is the better option, when there is
centrally located extrusion.
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 .
