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
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27-NOVEMBER-2013 KHERIYEH ABDEL-LATIF FIDDA 66
YEARS SEVERE LUMBAR CANAL STENOSIS L1-2, L2-3, L3-4 AND L4-5.
The patient came to the clinic 20-November-2013
complaining of LBP for 15 years with left
sciatica for 3 month with numbness of the left
foot and inability to walk more than 20 meters.
She was operated for extruded disc L4-5 15 years
ago. She is a known hypertensive with diabetic
mellitus for 6 years.
On examination is limping with exaggerated
scoliotic stance. There is pain in the neck when
turning the head to the right with weak grip,
extension left hand and the left triceps muscle
4/5. SLRS was 65
degrees both sides with pain. There is weak
dorsiflexion left foot -4/5 and right foot 4/5.
The patient was sent for new investigations, and
MRI 21-November-2013 showing severe lumbar canal
stenosis L1-2, 2-3, 3-4 and L4-5. There is mild
cervical canal stenosis C4-5, C5-6 and C6-7.
The patient progressed nasal
bleeding the night before surgery and urgent MRI
of the brain with MRA were normal. The cause was
due to Voltaren group sensitivity.
L2,3,4, lower third of L1 and upper third of L5.
All the stenotic components were eliminated.
Foraminotomy of the left L3, L5 roots. Routine
closure of the wound.
recovery. The power of both feet became normal.
The patient has lumbar canal stenosis, which is
progressive in nature, the early the surgical
correction the better the outcome.
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