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25-JULY-2009  HASHEM KAMEL AL-MUFTY  75 YEARS  LUMBAR CANAL STENOSIS L1-2, 2-3, 3-4 AND L4-5 WITH LATERAL RECESS SYNDROME.

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 came to the clinic 16-June-2009 complaining of LBP for 30 years with left drop foot which recovered. The patient the last 5 years noticed gradual deterioration and now cannot walk more than 20 meters with intermittent claudication more the left foot.

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On examination: the patient is limping with scoliotic stance, SLRS was 60 degrees in the left with pain and weak dorsi and planterflexion left foot 3/5 and weak dorsiflexion right foot -4/5. There is hypotrophy of the left quadriceps and muscles of the left foreleg.

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MRI lumbar spine performed 20-June-2009 showing severe lumbar canal stenosis L1-2, 2-3, 3-4 and L4-5 with lateral recess syndrome.

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The patient is a known hypertensive and sent for cardiologic consultation.

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Decompressive laminectomy of L2-3-4 and partial of L1 and L5  with foraminotomy of L2-3-4 and L5 roots both sides was performed with special attention to the left side. The dura was transparent and there was no epidural fat.

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Smooth postoperative recovery with improvement of the power of both feet.


Comments

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Lumbar canal stenosis is a progressive disease and the sooner the better to operate such cases. The aim of surgery to halt the progression of the disease and the patient can gain improvement as in this case.


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