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-MARCH-2010 MAJEDAH MUSTAFA MUHAMED 58 YEARS
SEVERE LUMBAR CANAL STENOSIS L4-5.
Anamnesis
The
patient came to the clinic 24-February-2010
complaining of LBP for 5 years with left
sciatica and numbness left foot. She could walk
only 20-20 meters dragging her left leg.
On examination: the
patient is limping with exaggerated
scoliotic stance. SLRS was 30 degrees in both
sides. There is weak
planterflexion and dorsiflexion both feet 3/5.
with hypalgesia of the left leg below the knee.
She is a known
diabetic with bronchial asthma and allergic to
aspirin and diclofenac.
MRI lumbar spine
done 05-March-2010 showing huge severe lumbar
canal stenosis L4-5 with several disci D7-8,
D9-10, D11-12 of no surgical value.
Decompressive laminectomy L4
and L5 with foraminotomy L5 roots both sides was
performed. All the compressive elements were
eliminated.
Routine closure of the wound.
Smooth postoperative
recovery, and the power of both feet became
normal.
Comments
Lumbar canal stenosis is a
progressive disease and the sooner the
compression is removed the better the outcome.
Foraminotomy must be included
in the surgical plan to resolve the lateral
recess syndrome.
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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 .
