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Munir Elias 20-12-2013
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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.tv

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12-MAY-2010  BASEMA NAYEF ABU-DAWOOD  72 YEARS  SEVERE LUMBAR CANAL STENOSIS L4-5.

Anamnesis

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The patient was admitted to the Shmaisani hospital 12-May-2010 with clinical picture of low back pain and weak both feet and intermittent claudication and left sciatica.

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MRI lumbar spine performed three weeks ago showing severe lumbar canal stenosis L4-5 with small tiny old extrusion in the right side.

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On examination the patient has weak dorsi and planterflexion both feet 4/5.

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Decompressive laminectomy of L4 and partial of L5 was performed. During that check for instability was checked and mild elements of overmobility was noted. Foraminotomy both L5 roots was achieved. The facets were stable. Inspection of the annulus fibrosis ruled out the necessity of violating the disc space of L4-5.

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


Comments

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The patient  has severe lumbar canal stenosis with progressive course. Surgical elimination of the stenosis is preferable. The sooner the surgery, the better the outcome.

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Notice: Head injuries and very urgent surgeries are also escaped from the plan .

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