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27-JANUARY-2011  NAHILA AHMAD AL-JILANY  56 YEARS  EXTRUDED DISC L4-5 WITH SEVERE COMPRESSION OF LEFT L5 ROOT.

Anamnesis

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The patient came to the clinic 25-January-2011 complaining of LBP with left sciatica for 2 months without improvement.

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MRI lumbar spine performed 03-January-2011 showing extruded disc L4-5 with severe compression of the left L5 root.

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On examination: The patient  is walking with help, limping with exaggerated scoliotic stance with agonizing pain. She has weak dorsi and planterflexion left foot -3/5. SLRS was 5 degrees in the left with pain. There is analgesia of the left L5 root territory.

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Left L5 foraminotomy with partial flavotomy of L4-5 was done. The left L5 root was severely compressed. The extruded disc was removed lateral to the axilla and left sided cleaning of L4-5 disc space was achieved. Some fragments of the extrusion were removed from under the axilla.

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Routine closure of the wound. Smooth postoperative recovery with normalization of the power of left foot.


Please! wait for 3-5 min till the video start to load. It depends upon the internet connection.

Comments

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The disc space height is slightly shallow, which indicate the small possibility of disc recurrence.

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So as to avoid mechanical trauma to the already compressed root, partial intradiscal decompression was performed to decrease the pressure applied to the root, before removing the extrusion.


 

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