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
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16-OCTOBER-2011 FATIMAH HUSSEIN ABU-DALOO 56
YEARS LUMBAR CANAL STENOSIS L2-3, L3-4 AND L4-5.
Anamnesis
The
patient came to the clinic several times
starting from 11-December-2005 for several
problems and was treated conservatively. The
patient is a known diabetic with arterial
hypertension and in L-thyroxin for 8
months.
The
patient then came 17-September-2011 complaining
of LBP for 4 years with bilateral sciatica
migrating from the right to the left. She is
using crutches the last 5 months. She can walk
only 20 meters and cannot climb stairs
and now having right sciatica.
MRI lumbar
spine performed twice 15-June-2010 and
05-September-2011 of bad quality showing lumbar
canal stenosis L3-4, L4-5.
On
examination: the patient is limping with
exaggerated scoliotic stance. SLRS was 85
degrees in both sides with weak dorsiflexion
both feet 4/5.
The
patient was sent for new MRI of the dorsal and
lumbar spine and done 24-September-2011, which
showed lumbar canal stenosis L2-3, L3-4 and L4-5
levels.
Decompressive laminectomy of
L3,4 and partial of L2 and L5. Foraminotomy of
L3,4 and L5 roots both sides. The left L2-3
joint was not only kissing, but it was migrating
to the right side. There was no epidural fat at
all these levels.
Routine
closure of the wound. Smooth postoperative
recovery with normalization of the power of both
feet.
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Comments
The patient has lumbar canal stenosis of a
progressive course, the earlier the
intervention, 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 .
