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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26-OCTOBER-2008 NAILAH RIHAN QASEM 57 YEARS
LUMBAR CANAL STENOSIS L4-5.
Anamnesis:
The patient came to the
clinic 09-April-2008 complaining of neck pain
and four limbs pain more the left lower limb for
12 years progressing the last year. She
could walk less than 200 meters with
intermittent claudication.
On examination: the patient
is limping with exaggerated scoliotic stance and
she had weak
dorsiflexion and planterflexion both feet 4/5 with SLRS
was 80 degrees in both sides. She had also
severe OA. both knees.
The patient was sent for MRI
cervical and lumbar spine, which were
done 16-April-2008 confirming the presence of
severe lumbar canal stenosis L4-5.
Decompressive laminectomy of
L4 and partial of the upper of L5 was performed. The hypertrophied
ligamentum flavum was removed and foraminotomy
of both L5 roots was achieved. Inspection of the
annulus fibrosis of the L4-5 disc confirmed no
extrusion and it was left untouched.
Routine closure of the wound.
The power of both feet normalized immediately
after surgery.
Comments
The patient has severe lumbar
canal stenosis. The patient was reluctant to
undergo surgery, but because the course of such
disease is progressive , she came at last for
surgical treatment.
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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 .
