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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24-AUGUST-2008 AHMAD SALEH ASHAAB 75 YEARS
LUMBAR CANAL STENOSIS L3-4 WITH RESIDUAL AFTER DISCECTOMY L4-5 AND L5-S1
PERFORMED 4 YEARS AGO.
Anamnesis:
The patient came to the
clinic 11-August-2008 complaining of LBP with bilateral
sciatica which continued after performed surgery
for PLD L4-5 and L5-S1 4-5 years ago elsewhere.
The patient
limping with exaggerated scoliotic stance with
intermittent claudication and can walk less than
500 meters. There is weak dorsiflexion both feet
4/5.
MRI performed 16-August-2008
showed lumbar canal stenosis of L3-4 above the
performed surgery
Decompressive Laminectomy of
L3 and removal of the remnants of L4. There was
no epidural fat. All the compressive elements
were drilled out and bilateral L4 foraminotomy
was performed to be sure that no compressing
elements were left behind. Check of the disc was
confirming the absence of extrusion. The soft
scar below the surgery level was left in place.
Routine closure of the wound
and smooth postoperative recovery.
Comments
The patient has lumbar canal
stenosis, which is a progressive one. Surgery is
the only solution in such a case.
There are no data about the
first surgery and explanation, why the patient
continued to complain of the same problems,
which was not resolved during the first surgery.
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Notice: Not all operative activities
can be recorded due to lack of time.
Notice: Head injuries and very urgent surgeries are also
escaped from the plan .
