Discusión entre pares/65 yr old female with severe radicular pain n not able to lie straight. Not helped with epidural steroid. Mgt. Plain decompression or with stabilisation?

Indian-Orthopaedic Research-Group

Sadique Ahmed Khan

65 yr old female with severe radicular pain n not able to lie straight. Not helped with epidural steroid.
Mgt. Plain decompression or with stabilisation?

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  Sadique Ahmed Khan Pt with low demanding routine activities.

  hace 15 horas · Me gusta
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  Chirayu Pamecha Dynamic X-rays ?

  hace 14 horas · Me gusta · 1
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  Shakir Rashid Decompression

  hace 14 horas · Me gusta · 1
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  Ram S. Suryawanshi First or second episode? Neurology??

  hace 14 horas · Me gusta
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  Swetabh Verma There is central stenosis at L4 L5 with left foraminal stenosis at L5 S1..both levels hav to b decompressed to address radicular symptoms..u can go in fr fenestration/over the top decompression at L4L5 from left side while doing foraminotomy and discectomy L5S1 also from left side..whether to fix or not depends on pts main complaint,back pain,x ray findings and any instability..if the above mentioned procedure is done,u need not fix it

  hace 13 horas · Me gusta · 1
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  Shakir Rashid N age is 65, I dnt think there is need for fixation

  hace 13 horas · Me gusta · 1
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  Nitin Sanadhya Xrays in flex and ext

  hace 13 horas · Me gusta · 1
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  Ankit Gupta black disc. doesnot look unstable.
  
  decompression alone is sufficient.

  hace 12 horas · Me gusta · 1
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  Manoj Jain Dynamic views necessary .

  11 horas · Me gusta · 1
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  Sadique Ahmed Khan Back pain is not much. Leg pain is severe.

  6 horas · Me gusta
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  Sadique Ahmed Khan Here r the dynamic xrays

  6 horas · Me gusta
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  Sadique Ahmed Khan

  

  6 horas · Me gusta
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  Swetabh Verma There is no instability as such...simple two level decompression is the answer

  6 horas · Me gusta · 1
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  Sadique Ahmed Khan Its first episode as per attendant. Pt not able to respond correctly.

  6 horas · Me gusta