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06-NOVEMBER-2010  NUHA SALMAN SUYES  65 YEARS  SEVERE LUMBAR CANAL STENOSIS L4-5.

Anamnesis

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The patient came to the clinic 12-October-2010 complaining of LBP for one month and right sciatica down to L5 territory with numbness.

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On examination: The patient is limping with exaggerated scoliotic stance, walking bended  with SLRS 70 degrees in the left with pain. There is weak dorsiflexion right foot -4/5 with no sensory deficit.

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MRI lumbar spine performed 24-October-2010 showing severe lumbar canal stenosis L4-5.

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Decompressive laminectomy of L5 with partial of L5 and foraminotomy both L5 roots and bilateral flavotomy L3-4 was achieved. There was no epidural fat and the dura was transparent, that the roots could be seen through it.

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No CSF leak and no tears  and inspection of the annulus fibrosis revealed no disc extrusion.

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Routine closure of the wound. Smooth postoperative recovery and normalization of the power of the right foot.


Comments

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The patient has lumbar canal stenosis with root compression from behind. Since the stenosis is a progressive disease, surgery is the only solution.

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Decompression must include the ongoing stenosis at L3-4, so as to avoid further surgery in the near future.

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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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