Concluded Case

the FBSS truth

65,f k/c/o parkinsonism, hypothyroid, obese.. inability to walk with tingling numbness, rt lower limb severe pain while walking.. had undergone surgery I'm 2018, unrelieved

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Concluded answer

its a classical FBSS.. Failed back spine syndrome.. this patient had multilevel bilateral all component stenosis.. however the surgery done was an unilateral incomplete micro discectomy at a single level.. such patients generate wrong impressions and phobia about spine surgery in society.. I reexplored and did multilevel bilateral decompression and patient is now very happy, satisfied and painfree symptom free..however, it will take few months of physiotherapy to strengthen the already weak musculature.. FBSS occurs only in two scenario..1. patient is misguided with non surgical options and comes very late for an inevitable surgery..this is the most common cause 2. the surgical procedure done by the surgeon is inadequate which is less common

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Multiple level degenerative disc disease with canal stenosis Markedly at L5/S1 level Symptoms are that of neurogenic claudication Laminectomy and L5/S1 discectomy may help

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Protruded Disc L5 S1 with multiple level disc at L4-4,L3-4,L2-3 with thecal indentation.L34,l4-5 there is canal narrowing. Surgery was done in 2018. GO for medical management,the present problem is neurogenic claudication ,try pregabalin ,if no relief surgery

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its a classical FBSS.. Failed back spine syndrome.. this patient had multilevel bilateral all component stenosis.. however the surgery done was an unilateral incomplete micro discectomy at a single level.. such patients generate wrong impressions and phobia about spine surgery in society.. I reexplored and did multilevel bilateral decompression and patient is now very happy, satisfied and painfree symptom free..however, it will take few months of physiotherapy to strengthen the already weak musculature.. FBSS occurs only in two scenario..1. patient is misguided with non surgical options and comes very late for an inevitable surgery..this is the most common cause 2. the surgical procedure done by the surgeon is inadequate which is less common

Narrowing of spinal canal at lower lumbar region stenosis spinal canal

Thanx dr Pushkar Bhomia
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Spinal stenosis syndrome

Tnx Agarwal Sb
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Spinal stenosis

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Disc prolapse l3 to l5 do EMG of rt lower extremity then decide

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There is canal stenosis with foraminal narrowing at L4/L5. Grd 1 listhesis at L5S1. Needs dynamic x ray, laminectomy decompression SOS fixation.What surgery was done ??

Multiple level of lumber disc disease. Operated provably on L4L5, L5S1 Further work out to be done

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