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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12-SEPTEMBER-2012 MANSOUR ALI AL-KAHTANY 68 YEARS
LUMBAR CANAL STENOSIS L2-3, 3-4 AND L4-5.
The patient came to the clinic 08-September-2012
complaining of minimal LBP and bilateral
sciatica more the right more than 4 years and
inability to walk more than 50 meters with
intermittent claudication for three years and a
progressive course the last year.
MRI lumbar spine done 03-September-2012 showing
LCS L2-3. L3-4 and L4-5 with vacuum phenomenon
at the involved disci.
On examination, the patient is limping with
shuffling gait. SLRS was 90 degrees both sides.
There is hypotonia both feet. There is weak
dorsiflexion right foot 3/5 planterflexion right
foot and dorsiflexion left are -4/5. There is
hypalgesia below the left knee.
The patient was sent for cardio evaluation and
cath done 11-September-2012 and showed that
there was an old stent which was inserted 8
years ago and there are several mild stenotic
changes of no major importance.
Laminectomy of L3,4 and upper
half of L5 and lower half of L2. All compressive
elements were eliminated and foraminotomy of
right L3,4 and L5 roots was performed. The
epidural fat was missing at all levels.
Routine closure of the wound. Smooth
postoperative recovery and the power of the feet
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The patient has
progressive lumbar canal stenosis. The sooner
the surgical decompression the better the
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