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Multigen RF lesion generator .

17-MARCH-2010  AHMAD IBRAHEEM ABDEL-QADER  33 YEARS  EXTRUDED DISC L2-3 WITH SECONDARY LUMBAR CANAL STENOSIS.

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 was transferred from another hospital 19-March-2010 with a history of LBP for 1 month and right sciatica for 1 week  with inability to walk.

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MRI lumbar spine performed 16-March-2010 showing extruded disc L2-3 with secondary canal stenosis at this level.

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On examination: the patient is unable to walk with agonizing right sciatica. SLRS was 30 degrees in the right and 40 degrees in the left. There is weak dorsiflexion right foot 3/5 left foot 4/5 and planterflexion right foot 4/5 and abduction left knee 4/5. There is hypalgesia below the right knee. Normal micturiton and defecation.

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Using image-intensifier, the L2-3 level was identified. Bilateral flavotomy of L2-3 was performed and bilateral cleaning of the disc space and removal of the extrusion from L2-3 space was achieved.

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Routine closure of the wound.

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


Comments

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Extruded disc associated with lumbar canal stenosis have cumulative effect in compressive trauma to the neural tissues, which necessitate urgent neurosurgical intervention.

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Bilateral cleaning of the disc space is the better option, when there is centrally located extrusion.


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