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25-JUNE-2006 KIFAH FAKHRY MARAQAH 55 YEARS LCS
L2-3 WITH HUGE BILATERAL EXTRUSION.
The patient came to the emergency 24-June-2006 complaining of
agonizing pain with left sciatica and left drop foot with weak dorsi
and planterflexion both feet with weak quadriceps muscles both
lower limbs. MRI performed 4 months ago were negative for presence
of extrusion at L2-3, but MRI performed 1 month ago were of bad
quality, but showing, that some even took place at that level. The
patient was sent for new MRI, which confirmed the presence of LCS
L2-3 with bilateral extrusion of the disc at the same level.
The patient had previous surgery at L1-2 level performed 1992.
The patient has micturition problems and cauda equina syndrome for
the last month.
Decompressive laminectomy of L2 with upper border of L3 was
performed and foraminotomy both sides. The extrusion was removed
from the left side first, the from the right side a huge piece was
removed in one piece, after what the neural structures became
relaxed. Bilateral cleaning of the L2-3 disc space was done. Routine
closure of the wound with smooth postoperative recovery.