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21-APRIL-2008  SARA MUHAMED ABU-RMEYLEH  64 YEARS  SEVERE LUMBAR CANAL STENOSIS L2-3, 3-4 AND L4-5 WITH FORAMINAL STENOSIS.

Anamnesis:

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The patient came to the clinic 14-April-2008 complaining of LBP for 10 years with right sciatica. Left sciatica for the last 45 days down to L5 territory with (+) cough sign. She now cannot walk more than 10 meters.

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On examination: the patient is limping with scoliotic stance. SLRS was 80 degrees in the right and 70 degrees in the left with pain. She had weak dorsi and planterflexion both feet 4/5.

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MRI of the lumbar spine performed 02-April-2008 showed severe lumbar canal stenosis at L2-3, L3-4 and L4-5. ESR was 71 mm/h  and she had signs of right CTS with severe OA both knees, more the left. with pain.

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Decompressive laminectomy of L2-3-4 and partial of L5 was performed and foraminotomy of both L3-4-5 roots was done.

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Routine closure of the wound with smooth postoperative recovery.

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Considerable improvement of the power of the feet.

Comments

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Lumbar canal stenosis is a progressive disease and surgery must be performed in the case of deterioration. All the compressive elements must be resolved, including the performance of foraminotomies.

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