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Dr. Ali Al-Bayyati and Dr. Munir Elias

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.fr

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Stem Cell Therapy Site
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06-AUGUST-2012  ABDEL-AZZIZ AHMAD HAMDAN  68 YEARS  LUMBAR CANAL STENOSIS L4-5.

 

Anamnesis

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The patient came to the clinic 11-March-2012 complaining of LBP for 2 months with bilateral symmetrical sciatica with numbness both feet. There is morning stiffness and the condition is deteriorating.

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On examination, the patient is not limping nor scoliotic. SLRS was 85 degrees in both sides without pain. There is weak dorsiflexion both feet 4/5.

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The patient was sent for MRI investigation and done 12-March-2012 showing severe lumbar canal stenosis L4-5. Dynamic studies of the spine ruled out the presence of instability.

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Laminectomy of L4 and upper half of L5 using image-intensifier. Foraminotomy of both L5 roots. The stenosis was due to ligamentum flavum hypertrophy, which was cleaned meticulously. Inspection of the annulus fibrosis from both sides: no evidence of extrusion.

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Routine closure of the wound. Smooth postoperative recovery. The power of both feet became normal.

 

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

Comments

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The patient have severe lumbar canal stenosis of a progressive course. Th sooner the surgical correction, the better the outcome.

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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 .

  

 

 

 

 

 

 

 

 

 

 

 

 

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[2012] [CNS CLINIC - NEUROSURGERY - JORDAN]. All rights reserved