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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16-APRIL-2012 MALIHA MUHAMED HASAN HAMAD
60 YEARS LUMBAR CANAL STENOSIS L3-4, L4-5.
Anamnesis
The
patient came to the clinic 14-April-2012
complaining of numbness both legs for 10 years.
The condition is deteriorating the last 2 years
and she can walk now less than 20 meters.
On
examination, the patient is limping with
exaggerated scoliotic stance with SLRS 75
degrees without pain in both sides. There is
weak dorsi and planterflexion both feet -4/5.
The
patient was sent for MRI lumbar spine and
performed 14-April-2012 showing lumbar canal
stenosis L3-4 and L4-5.
Decompressive laminectomy L3,
L4 with upper half of L5 with foraminotomy L4,
L5 roots both sides. Bilateral flavotomy L2-3
was achieved. There is no epidural fat in the
all stenotic part. Inspection of the disci was
negative for extrusion and inspection of the
foramina ruled out residual any compression.
Routine
closure of the wound. Smooth postoperative
recovery. The power of both feet became better.
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Comments
The patient has a
progressive lumbar canal stenosis which must be
corrected by decompression.
Decompressing the L2-3 level was included to
prevent the return of the patient after several
years for another surgery.
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 .
