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The patient a known diabetic with arterial hypertension, came
one year ago complaining of LBP with bilateral sciatica more the
right side. MRI performed at that time showed LCS L3-4 and L4-5 with
right lateral recess syndrome. The patient had weak dorsi and
planterflexion right foot at that time and he was advised to undergo
surgery.
The patient disappeared and came after one year and on
examination he had weak both feet with intermittent claudication.
Decompressive laminectomy L3-4 and 5 was performed and bilateral
foraminotomy of both L4 and L5 roots was performed. It was
noticeable that the right foraminae were severely stenosed, for what
drilling around the root exit was necessary to eliminate the bony
compression upon the roots.
Smooth postoperative recovery. |
