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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06-NOVEMBER-2010 NUHA
SALMAN SUYES 65 YEARS SEVERE LUMBAR CANAL STENOSIS L4-5.
Anamnesis
The patient
came to the clinic 12-October-2010 complaining
of LBP for one month and right sciatica down to
L5 territory with numbness.
On
examination: The patient is limping with
exaggerated scoliotic stance, walking bended
with SLRS 70 degrees in the left with pain.
There is weak dorsiflexion right foot -4/5 with
no sensory deficit.
MRI lumbar
spine performed 24-October-2010 showing severe
lumbar canal stenosis L4-5.
Decompressive laminectomy of L5 with partial of
L5 and foraminotomy both L5 roots and bilateral
flavotomy L3-4 was achieved. There was no
epidural fat and the dura was transparent, that
the roots could be seen through it.
No CSF
leak and no tears and inspection of the
annulus fibrosis revealed no disc extrusion.
Routine
closure of the wound. Smooth postoperative
recovery and normalization of the power of the
right foot.
Comments
The patient has
lumbar canal stenosis with root compression from
behind. Since the stenosis is a progressive
disease, surgery is the only solution.
Decompression must include
the ongoing stenosis at L3-4, so as to avoid
further surgery in the near future.
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Notice: Not all operative activities
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Notice: Head injuries and very urgent surgeries are also
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