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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

 

23-SEPTEMBER-2006  ALI YOUNIS ABDEL-WAHHAB  63 YEARS  LCS L4-5, L3-4 AND L2-3 WITH SACRALIZATION OF L5.

The patient  came to the clinic 17-September-2006 complaining of LBP for 3 years with left sciatica for 18 months and limping for one year. He has intermittent claudication. He is a known hypertensive for 4 years and diabetic for 4 years.

On examination: The patient has diabetic neuropathy of decreased sensation both feet the right up to the ankle and the left 10 cm above this level. He had weak dorsi and planterflexion both feet. He had swollen both feet with pretibial edema. MRI lumbar spine performed 24-July-2006 showing severe LCS L2-3, L3-4 and L4-5 with sacralization of L5.

Decompressive laminectomy of L3-4 and partial of L2 and 5 was performed with foraminotomy of L3,4 and 5 roots was achieved both sides.  Smooth postoperative recovery.

Comments:

1.  Since the LCS is a progressive pathology, then the sooner the better to perform surgery, not considering the presence of other associated pathologies, such as diabetes mellitus.


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[2006] [CNS CLINIC - NEUROSURGERY - JORDAN]. All rights reserved