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Dr. Ali Al-Bayati

 
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07-JULY-2011  JAMAL HASAN MAHMUD JABER  67 YEARS  LUMBAR CANAL STENOSIS L3-4, L4-5 WITH EXTRUDED DISC L4-5 LEFT SIDE.

Anamnesis

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The patient was operated by me for PCD C3-4 27-July-2004 and did well. The patient then came 05-June-2008 complaining of LBP with manifestation of lumbar canal stenosis and was advised to undergo surgery, but he escaped. The patient then came 02-July-2011 complaining of left sciatica for 6 days after exposure to cold. He could walk 1 Km, not limping with mild scoliotic stance with intact sensation and power both feet. The patient was given medications. The patient then 06-July-2011 claimed that his sciatica became agonizing and medication not helping.

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MRI lumbar spine done 06-July-2011 showing extruded disc L4-5 left side with severe lumbar canal stenosis at L3-4 and L4-5.

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On examination: the patient was unable to stand and weak dorsiflexion left foot 4/5 was noted.

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Decompressive laminectomy L4 and partial of L3 and 5 with foraminotomy of left L5 root was achieved. The extruded disc was removed from the left and bilateral cleaning of the disc pace of L4-5 was achieved.

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Routine closure of the wound.  Smooth postoperative recovery with normalization of the power of the left  foot with disappearance of left sciatica.


 

 

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 rate is around 7% because the disc space of L4-5 still not shallow.

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The patient was afraid of surgery, but the agonizing pain pushed him to this kind of treatment.

 

 

 

 

 


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