Concluded Case

Spinal canal Stenosis at L5 ,S1 ,L4-5 & L3-4 levels.

New case 67 yr ,M, Known Diabetic, Presented with low back pain with radiation to both lower limbs since 6 months, noted aggravation since 6 months.The present annoying problem is difficulty to walk,he could walk only 100 meters ,and then getting pain ,parasthesia feeling of weakness and forced to sit .The parasthesia is on either lateral side of legs. While standing for 2 mts he is getting parasthesia in the legs. On exam intact peripheral pulsations . Motor power in the legs 5 / 5. Knee ankle ankles both absent bilaterally. Dulling of sensation L 4, 5 & S1 bilaterally . Diagnosis & Management.

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Concluded answer
Thanks to all Doctors who answered. patient refused to spinal surgeon ,planning for elective surgery. * Dissication ,asymmetrical annular bulge & Rt paracentral protrusion of L5,S1,L4 dis,causing bilateral inferior neuroforaminal stenosis.Protruded disc is compressing the Rt L5 exiting nerve root . * Desiccation, asymmetrical annular bulge & mold postero central protrusion L3'L4,L5 discs,causing bilateral inferior neuroforaminal stenosis at both levels, no compression of L/ L4 exiting nerve roots. * Focal spinal canal stenosis at L 5,S1,L4-5 & L3-4 levels
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Thanks to all Doctors who answered. patient refused to spinal surgeon ,planning for elective surgery. * Dissication ,asymmetrical annular bulge & Rt paracentral protrusion of L5,S1,L4 dis,causing bilateral inferior neuroforaminal stenosis.Protruded disc is compressing the Rt L5 exiting nerve root . * Desiccation, asymmetrical annular bulge & mold postero central protrusion L3'L4,L5 discs,causing bilateral inferior neuroforaminal stenosis at both levels, no compression of L/ L4 exiting nerve roots. * Focal spinal canal stenosis at L 5,S1,L4-5 & L3-4 levels
Gradual onset, soft disc lesion converted to hard disc lesion with ageing. Lead to narrowing of spinal canal, causing spinal stenosis at multiple level of lumbar spine. Multi level laminectomy is a conventional method. EXPERTS OPINION IS FRUITFUL.
classical lumbar canal stenosis... needs surgery.. now a days we do it by minimally invasive route..such cases never required fixation , more so with minimal approach , still it is grossly over used... overall very good results
I agree
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L3/4: L4/5: L5/S1 degenerative disc disease Spinal canal stenosis Root compression Correlates with symptoms of radiculopathy and neurogenic claudication Will benefit from surgery
Multiple disc prolapses with roots compression
Thank you doctor
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