On examination: The patient had no sciatica.
SLRS was 90 degrees in both sides with weak
dorsi and planterflexion both feet with sensory
deficit over both L5 roots territory.
Partial decompressive laminectomy of L4 and L5
laminae with removal of the hypertrophied
ligamentum flavum with bilateral widening of the
foramina of L5 roots was performed. The epidural
fat which was shifted upward due to severe
compression, was transferred down to the level
of relaxed roots.
Smooth postoperative recovery and normalization
of the power of both feet.
Comments
The patient had progressive lumbar canal
stenosis at L4-5 with foraminal stenosis. Even he is overweight,
surgery must be a priority to resolve his problem and to help
him later to struggle with his obesity.
Foraminotomy must be preformed to eliminate
all the compressive elements all over.
Preservation of the epidural fat and using it
to cover the most mobile neural parts is the best solution to
prevent scar formation and ease his pain in the long run.
Skyra MRI with all clinical applications in the run since 28-Novemeber-2013.
Inomed Riechert-Mundinger System, with three point
fixation is the most accurate system in the market. The microdrive and
its sensor gives feed back about the localization.
Inomed MER system
Leica HM500
The World's first and the only Head mounted Microscope.
Freedom combined with Outstanding Vision, but very bad video recording and
documentation.
After long years TRUMPF TruSystem 7500 is running with in the neurosuite at
Shmaisani hospital starting from 23-March-2014
LooksCam II in the run starting from 14-March-2020
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 .
