Concluded Case

lumbar radiculopathy

36/m, rt lower limb pain, tingling, numbness.. 1 year, progressive, walks few mins and has to sit, ehl, edl, 4-/5, hs, gluts 4/5

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Concluded answer

These patients always need surgery.. conservative management in spine is not curative and most patients worsen at a later date.

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L4/5 level disc dessication Bulge Producing neural foraminen narrowing and canal stenosis Ligamentum flavum hypertrophy add to the problem Patient life style Occupation Functional demands to be taken in to account before planning treatment Persistence of causative factors can lead to recurrence Life style modification to be added to any kind of treatment

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L4-5 and L5 -S1 disc prolapse, with thecal compression.,with root compression, canal stenosis. Will benefit from endoscopic discectomy, since he is young, and the lesions are severe but localised.

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Their is definitely pathology l4 l5 disc prolapse pressing nerve root do EMG of lower limb must to know sensory motor nerve involvement

Emg has no role in spine cases
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Desication of disc bet L4L5 and narrowing of spinal canal Indentation of thecal causing radiculopathy Yes decompression advised

Thanx dr Bhaswanth Kumar
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PIVD..L4-L5.. NERVE Root compressions caused canel stenosis.

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L45 PID Spinal stenosis syndrome

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These patients always need surgery.. conservative management in spine is not curative and most patients worsen at a later date.

Disc prolapse of L4/L5 causing thecal compression leading root canal stenosis Decompression and laminectomy with screw fixation.

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L5 - S1 disc prolapse causing nerve root Compression

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Spondylolisthesis of l4-l5 need decompressive laminectomy and screw fixation

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