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
neurosurgery.tv
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06-AUGUST-2012 ABDEL-AZZIZ AHMAD HAMDAN 68 YEARS
LUMBAR CANAL STENOSIS L4-5.
Anamnesis
The patient came to the clinic 11-March-2012
complaining of LBP for 2 months with bilateral
symmetrical
sciatica with numbness both feet. There is
morning stiffness and the condition is
deteriorating.
On examination, the patient is not limping nor scoliotic. SLRS was 85
degrees in both sides without pain. There is weak dorsiflexion
both feet 4/5.
The patient was sent for MRI investigation
and done 12-March-2012 showing severe lumbar
canal stenosis L4-5. Dynamic studies of the
spine ruled out the presence of instability.
Laminectomy of L4 and upper
half of L5 using image-intensifier. Foraminotomy
of both L5 roots. The stenosis was due to
ligamentum flavum hypertrophy, which was cleaned
meticulously. Inspection of the annulus fibrosis
from both sides: no evidence of extrusion.
Routine closure of the wound. Smooth
postoperative recovery. The power of both feet became
normal.
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Comments
The patient have
severe lumbar canal stenosis of a progressive
course. Th sooner the surgical correction, the
better the outcome.
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