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12-NOVEMBER-2007 DR. MAJED MUHAMED KHEIR AL-BOURINI 58 YEARS LCS L2-3, L3-4
WITH PLD L3-4 LEFT SIDE.
Anamnesis
The patient is gynecologist, who was operated by
me 8 years ago for PLD L5-S1 and 5 years ago for
PLD L1-2 and came to the clinic 10 days ago with
agonizing left sided sciatica for one month with
difficulty of walking with bending foreword.
MRI performed was of bad quality showed Lumbar
canal stenosis L2-3 and L3-4.
On examination: the patient has weak
dorsiflexion both feet with planterflexion. SLRS
was 50 degrees both sides with hypalgesia both
L5 and S1 territories.
The patient was sent to another MRI, which
showed beside the stenosis a PLD L3-4 left side.
Decompressive laminectomy of L2-3-4 was
performed with foraminotomy of both L3 and L4
roots. Inspection of the disc of L3-4 was
convincing for its removal, for what discectomy
of L3-4 was performed and meticulous cleaning of
the disc space was done from the left. Routine
closure of the wound.
Smooth postoperative recovery with normalization
of the power of both feet.
Comments
The patient during the last 10 years
suffered from discopathy, which forced him to undergo three
operations.
In case of sciatica LCS cannot persuade the
surgeon that LCS is the case and he must look for the genuine
cause to resolve, as in this case the PLD of L3-4 left side.
It happens that protrusion from the facet
joint could lead to sciatica, but here the cause was the
extruded disc.
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Leica HM500
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Freedom combined with Outstanding Vision, but very bad video recording and
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Notice: Not all operative activities
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Notice: Head injuries and very urgent surgeries are also
escaped from the plan .
