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The patient was seen 13-April-2005 complaining of LBP for 2 years
after KABAG with bilateral sciatica, more in the morning. MRI
performed 04-April-2005 showing PLD L4-5. The patient underwent
partial thyroidectomy 27 years ago. On examination at that
time, she had weak dorsiflexion all toes left foot with OA
both knees. She had scoliotic stance and limping with right
sciatica. She was advised to undergo surgery, but she disappeared.
The patient then came 12-March-2006 complaining of LBP with
bilateral sciatica with inability to walk more than 20 meters
with numbness both feet with weak dorsi and planterflexion
both feet. MRI performed and showed stenosis at L3-4 and L4-5. The
patient thyroxine 50 microgram per day with antihypertensive drugs.
The patient was admitted and operated: Laminectomy of L4 and
partial of L3 and 5 was done and all the compressive elements at
L3-4 and L4-5 were eliminated. Foraminotomy both L4 and 5 roots was
done and inspection of the L3-4 and L4-5 disci was done from both
sides.
The patient showed immediate postoperative recovery of her feet
power. |
