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History :
28 -year-old gentleman came with complaints of severe neck pain since 3 months which had increased since last three days and left upper limb pain on and off since 4 months which was now very severe. He gave a history of lifting heavy weight 4-5 days ago at work following which his pain in hand had increased. Initially we gave him medications in the form of steroids but he did not improve at all, and was in agony so we decided to go Ahed with the surgery.
MRI :
At the L4-L5 level: There is a mild to moderate disc bulge that is pushing into the anterior thecal sac, affecting the L5 nerve roots on the sides and pressing against both exiting L4 nerve roots. This is causing mild to moderate narrowing of the openings (foramina) where the nerves exit and mild narrowing of the spinal canal. At the L5-S1 level: There is a moderate disc bulge that has a tear in the back part of the disc (annular tear) and a herniation that is pushing into the anterior thecal sac. This is significantly narrowing the openings for the S1 nerve roots and causing severe narrowing of the spinal canal.
The herniated disc component at L5-S1 measures 0.6×0.8 cm in size. Overall, there are structural issues in the lower back causing compression of nerve roots and narrowing of the spinal canal, particularly severe at the L5-S1 level.
Operation :
On October 1, 2023, Dr. Sangram Rajale performed a transforaminal lumbar interbody fusion (TLIF) at the L5-S1 level of the spine on a patient under general anesthesia. TLIF is a surgical procedure that aims to stabilize the spine by removing a damaged disc and inserting implants, specifically using Jayon implants, to promote bone growth and fusion between vertebrae, thus addressing issues like disc herniation and instability.
Condition On Discharge :
Following the L5-S1 transforaminal lumbar interbody fusion (TLIF) surgery performed by Dr. Sangram Rajale, the patient experienced significant improvements in his health. He was pleased with the surgery’s outcome, as it provided complete pain relief, enabling him to walk the day after the procedure. Over three months, his bladder strength also improved, allowing him to carry out daily activities without pain. Overall, the surgery had a positive impact on his quality of life, restoring his mobility and reducing discomfort.