|
The patient came to the clinic
04-March-2006 complaining of LBP with right sciatica for 9 years with
mild scoliotic stance. The last 2 years, she has progression of weak
right lower limb. MRI performed 10-June-2003 showed complete
occlusion at L3-4. She came limping with atrophied muscles of the
right foreleg. On examination: SLRS was 75 degrees both sides with
more pain in the right side. She had hypalgesia below the right knee
with almost drop both feet and severe weak planterflexion both feet.
The patient was sent for another MRI, which confirmed the presence
of LCS L2-3, L3-4 and L4-5.
Decompressive laminectomy of L2-3-4 and partial of L5 was
performed and foraminotomy of L3-4-5 both sides was achieved.
Postoperative period was uneventful with the recovery of the left
foot with normalization of the planterflexion right foot.
Comments: 1. LCS when
progressing, surgery give better results when the patient still not
suffering from irreversible damage to the neural structures. In the
contrary, when the compression is longstanding as in this case the
atrophied muscles of the right foreleg needs long time to recover. |
