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Neurogenic Claudication and Spinal Canal Stenosis: Laminectomy and Dynesis Procedure

This case presentation discusses a 74-year-old man with a long history of back pain and bilateral claudicant leg pain. A laminectomy and Dynesis procedure was performed to treat the spinal canal stenosis. Pre- and post-operative MRI scans are included.

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Neurogenic Claudication and Spinal Canal Stenosis: Laminectomy and Dynesis Procedure

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  1. CASE PRESENTATION Dr P. ChantzidisOrthopaedic surgeon. Spine surgeonEuromedica General HospitalThessaloniki • Νευρογενής διαλλείπουσα χωλότητα. Στενός Σπονδυλικός σωλήνας. • Neurogenic claudication. Spinal canal Stenosis. • Laminectomy and Dynesis. (Dynamic stabilisation) • Πεταλεκτομή και δυναμικό σύστημα σταθεροποίησης. (ΌΧΙ ΣΠΟΝΔΥΛΟΔΕΣΙΑ)

  2. History and physical examination • A 74-year-old man presented with long history of back pain and more recent (3 years) gradual onset of bilateral claudicant leg pain. He described his leg symptoms as somewhat radicular in nature , but more as a sensation of tiredness, heaviness and some numbness. The left leg is a little more symptomatic than the right. His leg symptoms had become more of a problem than his back pain because they limited his ability to walk more than 300 or 400 meters, or stand more than 5 or 10 minutes. He could not relieve his symptoms by standing, but rather had to sit down for a few minutes before he could start to walk again. • He stood in a slightly forward flexed position, mild reduction in SLR test, average knee reflexes, absent ankle reflexes, booming ankle and foot pulse. Full range of movement in his hips.

  3. X-rays, MRI findings. Spinal canal stenosis, L2-L3-L4-L5

  4. Laminectomy, and dynamic stabilisation. (Dynesis)

  5. MRI pre-operative. MRI 2 years Post-operation.Spinal canal recalibrated)

  6. MRI pre-operative. MRI 2 years Post-operation. Spinal canal fully recalibrated)

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