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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14-APRIL-2011 HUSNI UMAR DAQA 70 YEARS
LUMBAR CANAL STENOSIS L3-4, L4-5.
Anamnesis
The
patient came to the clinic 10-March-2011
complaining of LBP for 5 years with left
sciatica and inability to walk more than 100
meters. Intermittent claudication and numbness
both feet.
MRI lumbar
spine performed 14-October-2010 showing severe
lumbar canal stenosis L3-4, L4-5.
On
examination: the patient walking bended with
scoliotic stance with waddling gait and slight
dyspnea. SLRS was 70 degrees both sides with
pain. There is weak dorsiflexion both feet 3/5
and planterflexion 4/5. with aneasthesia both
feet to the level of the ankles. He had biting
oedema both legs with severe OA both knees, more
the left with pain.
The
patient was sent for cardiologic consultation to
rule out any cardiac problems.
Decompressive laminectomy L4 and partial of L3
and L5 was done. There was no epidural fat in
the decompressed area. Foraminotomy both L5
roots was done. Inspection of the L4-5 annulus
fibrosis revealed normal disc alignments.
Routine
closure of the wound. Smooth postoperative
recovery with improvement of the power of both
feet.
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Comments
Lumbar canal stenosis is a progressive disease
and in case of progression, the earlier the
intervention, the better is the outcome.
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 .
