 |
The
patient came
to the clinic 18-September-2006 complaining of
LBP with right sciatica for 5 years
with occipital headache for 1 week
with tinnitus both ears. She could walk less
than 200 meters with intermittent claudication. |
|
|
MRI of the lumbar
spine performed 07-August-2005 showing
spondylolisthesis L4-5 with stenosis L3-4 and
L4-5. |
|
|
On examination: the
patient had pain in the neck with weak right
upper limb and right lower limb and
hypalgesia entire right hand and below the right
knee. |
|
|
The patient then
came 18-November-2006 with MRI of the cervical
spine done 14-November-2006 showing compression
at C3-4 with malacia of the spinal cord at this
level. The patient was advised to undergo
decompression for the severe lumbar canal
stenosis, but she disappeared. |
|
|
The patient then
came 02-June-2010 complaining of walking
difficulty with cramps both lower limbs with
sciatica more the right. She has weak
dorsiflexion right foot 2/5 and left foot 3/5
with weak planterflexion right foot 3/5 and left
foot -4/5. There is hypalgesia right S1 and
analgesia right L5 root territories. |
|
|
MRI done
20-June-2010 showing severe lumbar canal
stenosis L2-3, L3-4 and L4-5 with elements of
mild spondylolisthesis. |
|
|
Decompressive
laminectomy of L3-4 and partial of L2 and L5
with foraminotomy of L3-4-5 roots both
sides. There is no epidural fat and no
overmobility of the segments. |
|
|
Routine closure of
the wound and smooth postoperative recovery. |
|
|
The power of both
feet dramatically improved. |
