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12-AUGUST-2009  RAHMEH MAHMOUD SAMMUR  59 YEARS  LUMBAR CANAL STENOSIS L2-3, 3-4, 4-5 AND FORAMINAL STENOSIS LEFT S1 ROOT.

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 05-August-2009 complaining of LBP with bilateral sciatica with inability to walk more than 10 meters.

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The patient was operated by me for cervical canal stenosis 28-December-2003 with fusion of C3 down to C6.

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MRI lumbar spine performed 21-April-2009 showed stenosis of L2-3, 3-4, 4-5 and foraminal stenosis of left S1 root

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On examination: the patient is unable to stand to evaluate the scoliotic stance and Romberg signs. SLRS was 70 degrees in the right and 10 degrees in the left. Weak dorsiflexion both feet 3/5 with weak planterflexion right 4/5 and left foot- 3/5.

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Decompressive laminectomy of L3-4-5 and partial of L2 with foraminotomy of all running nerves was achieved. The epidural fat was missing at all levels and the dura was transparent. Check for further compression was negative.

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Routine closure of the wound and smooth postoperative recovery with normalization of the power of both feet.


Comments

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Spinal canal stenosis can be at different locations and in combination as in this case. She was operated 6 years ago for cervical canal stenosis and now for lumbar canal stenosis. Usually the stenosis is multilevel in all sites of major involvement.

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Lumbar canal stenosis is a progressive disease and surgery is better to perform early in case of progression.


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