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11-MAY-2011  MAJIDA ABDEL-RAHMAN ABU-HALAWEH  64 YEARS  HUGE EXTRUDED DISC L3-4 MORE TO THE LEFT WITH SECONDARY CANAL STENOSIS.

Anamnesis

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The patient came to the clinic 04-May-2011 complaining of LBP for 6 years with both knees pain for 4 months more the left. The patient performed MRI lumbar spine 23-March-2011 bad quality, showing extruded disc L3-4 with severe lumbar canal stenosis at this level.

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On examination: the patient using crutches for 2 weeks and limping with exaggerated scoliotic stance. She had mild osteoarthritic changes both knees. She had weak dorsiflexion both feet -4/5 and planterflexion left foot 4/5.

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Decompressive laminectomy L3 and partial of L2 and L4 was done. Bilateral foraminotomy both L4 roots. All the compressive elements were eliminated. There was no epidural fat in the area. The extruded disc of L3-4 was removed from the left side lateral to the axilla. Bilateral cleaning of the L3-4 disc space was done.

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Routine closure of the wound. Smooth postoperative recovery with improvement of the power of left foot.


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

Comments

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The disc extrusion was so big, resulting in segmental stenosis. All the compressive elements must be resolved surgically to achieve maximal surgical result.

 


 

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