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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-AUGUST-2008  AHMAD ODEH AL-LAWI  75 YEARS  LUMBAR CANAL STENOSIS L2-3, L3-4 AND L4-5 WITH LEFT LATERAL RECESS SYNDROME.

Anamnesis:

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The patient came to the clinic 18-August-2008 complaining of bilateral sciatica with LBP for three months .

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The patient using crutches, limping with exaggerated scoliotic stance. SLRS was 75 degrees in the right with pain. The power of both feet is decreased: planterflexion both feet 4/5. Dorsiflexion left -3/5 and 3/5 in the right. The patient has severe OA both knees with pain left knee and inability to flex the left knee.

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MRI performed recently showing lumbar canal stenosis of L2-3, 3-4 and L4-5 with lateral recess syndrome more the left.

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Decompressive Laminectomy of L3-4 and partial of L2 and L5 was performed. Foraminotomy of left L4 and L5 roots was performed.

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Routine closure of the wound and smooth postoperative recovery.

Comments

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The patient has lumbar canal stenosis, which is a progressive one. Surgery is the only solution in such a case.

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