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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. |
