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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01-JUNE-2013 LAILA RASHAD ABDEL-AZZIZ 66 YEARS
LUMBAR CANAL STENOSIS L2-3, 3-4 AND L4-5.
The patient came to the clinic 27-March-2013
complaining of LBP for 10 years with right
sciatica for 5 years. Bilateral sciatica with
intermittent claudication for for 7 months. She
can walk only 200 meters. The last 3 months
right shoulder pain with right upper limb pain
and weakness and incontinent for 6 months.
On examination: The patient is not limping now.
There is weak grip and extension right hand 4/5
and right triceps muscle 4/5. There is weak
dorsiflexion both feet -4/5. Exaggerated
scoliotic stance. OA right shoulder without
The patient was sent for MRI of the cervical and lumbar spine,
which done 27-March-2013 showing extruded disc
C5-6 with severe lumbar canal stenosis L2-3,
L3-4 and L4-5. Dynamic studies ruled out
spondylolisthesis. Gout was diagnosed and
Zyloric started and Vit D3 deficiency was
of L3,4,5 and lower half of L2. Foraminotomy
L3,4,5 both sides and right S1 root. All the
compressive elements were removed. The dura was
transparent with no epidural fat.
Routine closure of the wound.
Smooth postoperative recovery. The patient
power both feet became normal.
The patient has has severe progressive lumbar
canal stenosis. The earlier the surgical
decompression the better the result.
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