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26-OCTOBER-2008  NAILAH RIHAN QASEM  57 YEARS  LUMBAR CANAL STENOSIS L4-5.

Anamnesis:

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The patient came to the clinic 09-April-2008 complaining of neck pain  and four limbs pain more the left lower limb for 12 years progressing the last year. She could walk less than 200 meters with intermittent claudication.

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On examination: the patient is limping with exaggerated scoliotic stance and she had weak dorsiflexion and planterflexion both feet 4/5 with SLRS was 80 degrees in both sides. She had also severe OA. both knees.

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The patient was sent for MRI cervical and lumbar spine, which were done 16-April-2008 confirming the presence of severe lumbar canal stenosis L4-5.

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Decompressive laminectomy of L4 and partial of the upper of L5 was performed. The hypertrophied ligamentum flavum was removed and foraminotomy of both L5 roots was achieved. Inspection of the annulus fibrosis of the L4-5 disc confirmed no extrusion and it was left untouched.

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Routine closure of the wound. The power of both feet normalized immediately after surgery.

Comments

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The patient has severe lumbar canal stenosis. The patient was reluctant to undergo surgery, but because the course of such disease is progressive , she came at last for surgical treatment.

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Back Up!

Notice: Not all operative activities can be recorded due to lack of time.
Notice: Head injuries and very urgent surgeries are also escaped from the plan .

     

  

[2008] [CNS CLINIC - NEUROSURGERY - JORDAN]. All rights reserved