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
21-APRIL-2008 SARA MUHAMED ABU-RMEYLEH
64 YEARS SEVERE LUMBAR CANAL STENOSIS L2-3, 3-4 AND L4-5 WITH
FORAMINAL STENOSIS.
Anamnesis:
The patient came to the
clinic 14-April-2008 complaining of LBP for 10
years with right sciatica. Left sciatica for the
last 45 days down to L5 territory with (+) cough
sign. She now cannot walk more than 10 meters.
On examination: the patient
is limping with scoliotic stance. SLRS was 80 degrees in the
right and 70 degrees in the left with pain.
She had weak dorsi and planterflexion both feet
4/5.
MRI of the lumbar spine
performed 02-April-2008 showed severe lumbar
canal stenosis at L2-3, L3-4 and L4-5. ESR was
71 mm/h and she had signs of right CTS
with severe OA both knees, more the left. with
pain.
Decompressive laminectomy of
L2-3-4 and partial of L5 was performed and
foraminotomy of both L3-4-5 roots was done.
Routine closure of the wound
with smooth postoperative recovery.
Considerable improvement of the
power of the feet.
Comments
Lumbar canal stenosis is a
progressive disease and surgery must be
performed in the case of deterioration. All the
compressive elements must be resolved, including
the performance of foraminotomies.
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