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08-MAY-2011 YOUSEF AHMAD ABDEL-QADER 64 YEARS
HUGE EXTRUDED DISC L3-4 WITH SECONDARY CANAL STENOSIS L3-4 AND
L4-5.
Anamnesis
The
patient came to the clinic 30-April-2011
complaining of left sciatica for 2 years with
exacerbation of the sciatica the last 2 weeks
down to L5 territory with numbness of the big
toe left foot.
The
patient performed MRI lumbar spine 27-April-2011
showing extruded disc L3-4 more to the left with secondary
stenosis at L4-5 and L3-4 levels.
On
examination: the patient had weak dorsiflexion
right foot 4/5 and 3/5 left foot with weak
planterflexion left foot -4/5. There is
hypalgesia right L5 root.
Decompressive partial laminectomy L3 and L4 was
done. Bilateral foraminotomy both L4 roots. The
extruded disc was removed from both sides and
bilateral cleaning L3-4 disc space was achieved.
Routine
closure of the wound. Smooth postoperative
recovery with improvement of the power of both
feet and disappearance of sciatica.
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Comments
The estimated recurrence rate in this case is
ranking around 7%, because the disc space of
L3-4 still not shallow.
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 .
