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08-MAY-2011  SUZAN MUHAMED AL-ATTAR  39 YEARS  HUGE EXTRUDED DISC L4-5  WITH SECONDARY SEGMENTAL STENOSIS AT THIS LEVEL.

Anamnesis

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The patient came to the clinic 05-May-2011, telling that she started to complain of LBP with bilateral sciatica, more the left, for 5 days with numbness both both feet and difficult walking.

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The patient performed MRI lumbar spine 04-May-2011 showing extruded disc L4-5 with secondary canal stenosis with small extrusion of L5-S1 left side.

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On examination: the patient had scoliotic stance, limping and SLRS 40 degrees in the right and 30 degrees in the left with pain. Weak dorsiflexion  3/5 and planterflexion 4/5 both feet.

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Decompressive laminectomy L4 and partial of L5 was done. Bilateral foraminotomy both L5 roots. The extruded disc was removed from both sides and bilateral cleaning L4-5 disc space was achieved.

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Routine closure of the wound. Smooth postoperative recovery with improvement of the power of both feet and disappearance of 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 recurrence rate in this case is ranking around 7%, because the disc space of L4-5 still not shallow.

 


 

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