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Multigen RF lesion generator .

14-APRIL-2011  HUSNI UMAR DAQA  70 YEARS  LUMBAR CANAL STENOSIS L3-4, L4-5.

Anamnesis

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The patient came to the clinic 10-March-2011 complaining of LBP for 5 years with left sciatica and inability to walk more than 100 meters. Intermittent claudication and numbness both feet.

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MRI lumbar spine performed 14-October-2010 showing severe lumbar canal stenosis L3-4, L4-5.

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On examination: the patient walking bended with scoliotic stance with waddling gait and slight dyspnea. SLRS was 70 degrees both sides with pain. There is weak dorsiflexion both feet 3/5 and planterflexion 4/5. with aneasthesia both feet to the level of the ankles. He had biting oedema both legs with severe OA both knees, more the left with pain.

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The patient was sent for cardiologic consultation to rule out any cardiac problems.

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Decompressive laminectomy L4 and partial of L3 and L5 was done. There was no epidural fat in the decompressed area. Foraminotomy both L5 roots was done. Inspection of the L4-5 annulus fibrosis revealed normal disc alignments.

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Routine closure of the wound. Smooth postoperative recovery with improvement of the power of both feet.


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

Comments

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Lumbar canal stenosis is a progressive disease and in case of progression, the earlier the intervention, the better is the outcome.

 


 

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Notice: Head injuries and very urgent surgeries are also escaped from the plan .

 

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