This lady from South Carolina had L45 decompression and fusion w instrumentatin done yrs ago did well until recently. She then developed severe L leg pain in L5 distribution w scan and xray showinf spondy w stenosis. She as also tight a L34.
I just fixed this w L3 and L5 decompression and L3-iliac wing extension decompression and fusion w instrumentation. Her L L5 foramen was VERY tight, but now is completely free.
This is good example of adjacent level failure which is fixable by removing old hardware and extending the decompression and fusion.
Surgical time: 2 hour 15 min
EBL: 200 cc.
Blood transfused: none.
Dr. Lloyd Hey
Hey Clinic for Scoliosis and Spine Surgery.
http://www.heyclinic.cm
How can we care for scoliosis and kyphosis and spondylolisthesis better with conservative care like physical therapy, high-tech scoliosis braces, exercise and other techniques? What can be done to improve surgical care, and understand choices for surgery, learning from those around the world? How can we learn from aviation and from Deming's principles of "Standard Work" to constantly improve spine and all healthcare?
Tuesday, April 21, 2009
L5 severe radiculopathy caused by L5S1 spondylolisthesis w foraminal stenosis fixed today
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