History:
A 58-year-old gentleman presented to Spine Surgery Specialist in Pune Dr. Sangram Rajale with complaints of low back pain and bilateral lower limb pain for the past 2 years. The pain worsened with sitting and bending forward. He reported a history of neurogenic claudication, with symptoms lasting for about 10 minutes, as well as sleep disturbances due to pain. He also had a history of previous spine surgery in 2008. On examination, extension movements were painful and restricted.
Muscle Strength (MRC Scale):
- EHL (Extensor Hallucis Longus): Right 4/5, Left 4/5.
- EDL (Extensor Digitorum Longus): Right 4/5, Left 4/5.
RADIOLOGICAL INVESTIGATIONS:
MRI Lumbar Spine:-
Degenerative changes at the L2-L5 levels with lumbar canal stenosis (LCS) and L4-L5 listhesis
Evidence of previous spine surgery
- Grade I anterior listhesis of L4 over L5
- Right paracentral disc protrusion at L2-L3
- Diffuse disc bulge at L5-S1
SURGICAL PROCEDURE PERFORMED:
- Operation Date: 18/06/2023
- Procedure: L2-L5 Laminectomy and Posterolateral Fixation performed under general anesthesia
Operating Surgeon: Spine Specialist near Pune Dr. Sangram Rajale
Implants Used: JAYON
CONDITION ON DISCHARGE:
This was the patient’s second spine surgery. Despite being offered surgical intervention by multiple surgeons in the past, he had been hesitant due to concerns about the expected outcomes. After our consultation with Top Spine Pain Clinic in Pune Dr. Sangram Rajale, the patient was convinced to proceed with the revision surgery. Postoperatively, he expressed immense satisfaction and gratitude. He has since returned to his farming job and reports no pain or discomfort in his back or legs