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Dr. Ali Al-Bayyati and Dr. Munir Elias

 
Most of the site will reflect the ongoing surgical activity of Prof. Munir Elias MD., PhD. with brief slides and weekly activity. For reference to the academic and theoretical part, you are welcome to visit  neurosurgery.tv

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16-OCTOBER-2011  FATIMAH HUSSEIN ABU-DALOO   56 YEARS  LUMBAR CANAL STENOSIS L2-3, L3-4 AND L4-5.

Anamnesis

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The patient came to the clinic several times starting from 11-December-2005 for several problems and was treated conservatively. The patient is a known diabetic with arterial hypertension and in L-thyroxin  for 8 months.

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The patient then came 17-September-2011 complaining of LBP for 4 years  with bilateral sciatica migrating from the right to the left. She is using crutches the last 5 months. She can walk only 20 meters  and cannot climb stairs  and now having right sciatica.

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MRI lumbar spine performed twice 15-June-2010 and 05-September-2011 of bad quality showing lumbar canal stenosis L3-4, L4-5.

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On examination: the patient is limping with exaggerated scoliotic stance. SLRS was 85 degrees in both sides with weak dorsiflexion both feet 4/5.

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The patient was sent for new MRI of the dorsal and lumbar spine and done 24-September-2011, which showed lumbar canal stenosis L2-3, L3-4 and L4-5 levels.

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Decompressive laminectomy of L3,4 and partial of L2 and L5. Foraminotomy of L3,4 and L5 roots both sides. The left L2-3 joint was not only kissing, but it was migrating to the right side. There was no epidural fat at all these levels.

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Routine closure of the wound.  Smooth postoperative recovery with normalization 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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The patient has lumbar canal stenosis of a progressive course, the earlier the intervention, the better the outcome.


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

 

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