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-MAY-2013 MUHAMED MAHMOUD AL-WAQQAD 72 YEARS
LUMBAR CANAL STENOSIS L2-3, L3-4 AND L4-5.
Anamnesis
The patient came
to the clinic 27-April-2013 complaining of LBP
for 15 years with exacerbation of the LBP with
bilateral sciatica more the left for the last
year. The patient cannot walk more than 100
meters due to intermittent claudication and
pain. The patient is a known hypertensive for 10
years.
On examination: The patient is limping with
exaggerated scoliotic stance. SLRS was 85
degrees both side. There is weak dorsiflexion
right foot 4/5 and left foot -4/5. There is
analgesia both L5 root territories. There is
severe OA both knees with pain right knee.
The patient was sent for investigations and
MRI lumbar spine performed 28-April-2013 showing
lumbar canal stenosis L2-3, l3-4 and L4-5.
Dynamic studies of the lumbar spine ruled out
elements of instability.
Decompressive laminectomy of
L3, L4, lower third of L2 and upper third of L5.
Foraminotomy L4 and L5 roots both sides. There
was no epidural fat in the exposed area due to
severe compression.
Routine closure of the wound.
Smooth postoperative recovery.
Comments
The patient has severe LCS with progressive
course. The earlier the intervention, the best
the results.
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