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The patient came to the clinic
15-July-2006 complaining of LBP with right sciatica for 10 months with
mild scoliotic stance. The patient could walk 6 months ago more than
3 Km, but now cannot walk more than 50 meters with intermittent
claudication.
MRI of the spine performed 06-July-2006 showed LCS L3-4 and more
severe at L4-5. On examination: weak dorsiflexion and palnterflexion both feet
with continuous numbness of the big toe right foot.
Decompressive laminectomy L4 and partial of L3 and L5 was
performed with foraminotomy of both L5 roots.
The patient was discharged the next postoperative day with full
recovery of her neurological deficit.
Comments: 1. LCS when
progressing, surgery give better results when the patient still not
suffering from irreversible damage to the neural structures. |
