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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07-FEBRUARY-2013 SALMA SULAYMAN MUSA 72 YEARS
LUMBAR CANAL STENOSIS L3-4 AND L4-5.
Anamnesis
The patient came to the clinic 13-December-2012
complaining of LBP with exacerbation since July
2012 with left sciatica and numbness. Total knee
replacement was done to the left and the
p0atient got worse. The patient cannot walk more
than 200 meters.
On examination: SLRS was 75 degrees in the right
and 60 degrees in the left with pain. There is
weak dorsiflexion both feet 4/5. Hypalgesia left
K5 root territory. MRI lumbar spine done showing
lumbar canal stenosis L3-4 and L4-5.
Decompressive laminectomy L4
and upper half of L5 and lower 2/3 of L3. The
bone was osteoporotic with mobile
osteoarthretic fragments at the left L4-5 facet,
compressing the right L5 root.
Foraminotomy of L4 and L5 roots both sides. The
epidural fat was missing at compressed sites and
the dura was transparent through which the roots
were visible.
Routine closure of the wound.
Smooth postoperative recovery.
The power of both feet became normal.
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Comments
Lumbar canal stenosis when progressive needs
surgical intervention. The earlier the surgery
the better the outcome.
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