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01-MARCH-2011  INNAAM ALI QTESHAT  61 YEARS  SEVERE LUMBAR CANAL STENOSIS DUE TO CENTRAL EXTRUDED DISC L4-5 MORE TO THE RIGHT.

Anamnesis

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The patient came to the clinic 26-February-2011 complaining of LBP with agonizing right sciatica the last 2 weeks.

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MRI lumbar spine done 26-February-2011 showing extruded disc L4-5 central more to the right, resulting in severe lumbar canal stenosis.

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On examination: The patient  is limping with exaggerated scoliotic stance  with SLRS 40 degrees in the right with pain  and 60 degrees in the left with less pain, and weak dorsiflexion right foot 3/5  left foot-4/5 and planterflexion right foot 3/5 and 4/5 in the left  with analgesia right L5 and hypalgesia right S1 root territories. There is moderate OA both knees.

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Decompressive laminectomy of L4 and partial of L5 with bilateral foraminotomy L5 roots and bilateral cleaning of L4-5 disc space. There was no epidural fat at the exposed dura.

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Routine closure of the wound. Smooth postoperative recovery with normalization of the power of  both feet.


Please! wait for 3-5 min till the video start to load. It depends upon the internet connection.

Comments

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The estimated postoperative recurrence is still ranking around 7%, because the disc space still not shallow.


Back Up!

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 .

 

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