neurogenic claudication 3 years no load axial load
Post on 03-Feb-2022
16 Views
Preview:
TRANSCRIPT
Male 36 y
Neurogenic claudication 3 years
No load Axial load
L5 –S1
Increasingcentral stenosis
Female 55 years 2 years neurogenic claudicationwith sciatica
L4- L5
No load
Axial load
Increasing central stenosis
Female 55 years2 years neurogenic claudication with sciatica
Female 55 years2 years neurogenic claudication with sciatica
Preop Postop
Decompression
Postop painfree full time work
Axial load
L4-5
No load
Female 42 years 2 years history of neurogenic claudication accentuated in walking
Female 42 years 2 years history of neurogenic claudication accentuated in walking
L4-5
No load
DCSA75mm2
Axial load
DCSA 55mm2
Decompression L4-5
3 y postop unlimited walking capacity
L4 –L5
No load
Axial load
Increasing central and
recess stenosis dx
Female 45 y
Sciatica dx 3 years
Female 49 y Sciatica sin 10 yearsDisc herniation L5-S1 sin, surgically treatment plannedL3-L4DCSA:
No load
100mm2
Axial load
80mm2
L4-L5DCSA:
No load
60mm2
Axialload
60mm2
Male 56 y Diabetes, polyneuropathy and neurogenic claudication?Differential diagnosis!
No load
Increasing
central stenosis
L3-L4 L4-L5
Axial load
Male 75 y
Sciatica dx 20 y
Decompression L4 – L5
2 y ago
Increasing nerve root
compression dx by a
synovial cyst
No load
Axial load
Male 76y
Decompression L3-L5 3 years ago
2 years severe sciatica,impaired walking and standing capacity with motor and sensorydisturbances
Synovial cyst dx
L3-L4
No load
Axial load
Male 54 y
Sciatica dx 9months
L4 – L5
Synovial cyst and
fat compress
the L5 nerve root
No load
Axial load
Male 37 y
LBP and leg pain several yearsL5 – S1
No load
Epidural lipomatosis
Axial load
Female 45 y
Sciatica dx 3 years
L4 –L5
No load
Axial load
Increasing central stenosis
and recess stenosis sin
Male 58 y
LBP and sciatica sin
No load
Axial load
Increasing
disc herniation and
recess stenosis sin
L4-L5
Male 61yNeurogenic claudication
L4 –L5
No load
Axial load
Increasing
recess stenosis sin
No load
Axial load
Male 66 y
2 y LBP with sciatica sin andsensory disturbances bilaterally(L3 - L4 central spinal stenosis)
L4 – L5
Facet Joint Cyst
pre compression with compression
Courtesy of
U AmendyFrenchay Hosp, Bristol
Male 54 years Neurogenic claudication 5 years, sciatica dx walking capacity <200m
Male 54 years Neurogenic claudication 5 years, sciatica dx walking capacity <200m
Decompression and fusion L3-L5F U 3 y postop painfree, unlimited walking capacity, full time work
L4-5DCSA 65 mm2
DCSA 50 mm2
Accentuated recess stenosis dx
No load
Axialload
top related