Case: 1.A.BSV.7.19.20.25
54 Jahre (female)
Current status before the surgery:
Strong pains in Lumbar area with irradiation to the right leg and foot and left buttock. In standing position the body leans to the right. Coxalgic pelvis. Autonomous movement or standing position are impossible. Lack of strength and sensitivity in the right leg and foot. Lack of sensitivity on outer thigh of the left leg.
Diagnosis:
Right sided scoliosis, ventral spondylolisthesis with vertebral displacement of L4 to L5 for 6mm. Central lateral hernia of intervertebral disc L5/S1 of 14mm. Protrusion of intervertebral disc and stenosis of spinal canal L4/L5 due to spondylolisthesis. Neuroforaminal stenosis from both sides, due to the hernia. Paraparesis of the right leg.
Performed surgery:
Hard epidural catheterization of spinal canal. Transforaminal peridural catheterization of spinal canal on L4/L5, L5, S1 levels. Peridural catheterization on L3/L4 levels from both sides. Intra-articular catheterization on L3/L4, L4/L5, L5/S1 levels on both sides. Intervertebral right sided catheterization on L4/L5, L5/S1 levels with CGF. Catheterization of frontal and dorsal longitudinal ligaments L4/L5 levels.
Surgery result:
Positive result was immediate after the surgery, patient could move and be in standing position without crutches. All the symptoms disappeared after 2 weeks and after 6 weeks patient could do any physical activity, including sport without limitation. Currently symptoms are not present.
MRI images description:
MRI images before and one year after surgery
