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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09-MAY-2012 AREF MUHAMED ABU-SHAWER 72 YEARS
SEVERE LUMBAR CANAL STENOSIS L2-3, L3-4 AND L4-5.
Anamnesis
The
patient came to the clinic 10-December-2011
complaining of LBP with bilateral sciatica for
one year with intermittent claudication after
walking more than 100 meters. MRI lumbar
spine performed 01-November-2011 showing severe
lumbar canal stenosis at L3-4 and L4-5.
The
patient then came 14-April-2012 reporting that
his condition is deteriorating and cannot walk
more than 200 meters.
On
examination, the patient is limping with scoliotic
stance. SLRS was 95 degrees both sides without
pain. Dorsi and planterflexion both feet was -4/5.
New MRI
requested and done 14-April-2012 showing severe
lumbar canal stenosis L2-3, L3-4 and L4-5.
Decompressive laminectomy of
L3,4 and lower half of L2 and upper half of L5.
Foraminotomy L3,4 5 roots both sides. All the
compressive elements were eliminated.
Routine
closure of the wound. Smooth postoperative
recovery. Normalization of the power of both
feet.
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Comments
The patient has
progressive lumbar canal stenosis. The earlier
the surgical decompression the better the
outcome.
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 .
