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09-MARCH-2010  MAJEDAH MUSTAFA MUHAMED  58 YEARS  SEVERE LUMBAR CANAL STENOSIS L4-5.

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

Anamnesis

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The patient came to the clinic 24-February-2010 complaining of LBP for 5 years with left sciatica and numbness left foot. She could walk only 20-20 meters dragging her left leg.

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On examination: the patient is limping with exaggerated scoliotic stance. SLRS was 30 degrees in both sides. There is weak planterflexion and dorsiflexion both feet 3/5. with hypalgesia of the left leg below the knee.

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She is a known diabetic with bronchial asthma and allergic to aspirin and diclofenac.

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MRI lumbar spine done 05-March-2010 showing huge severe lumbar canal stenosis L4-5 with several disci D7-8, D9-10, D11-12 of no surgical value.

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Decompressive laminectomy L4 and L5 with foraminotomy L5 roots both sides was performed. All the compressive elements were eliminated.

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Routine closure of the wound.

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Smooth postoperative recovery, and the power of both feet became normal.


Comments

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Lumbar canal stenosis is a progressive disease and the sooner the compression is removed the better the outcome.

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Foraminotomy must be included in the surgical plan to resolve the lateral recess syndrome.


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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