scholarly journals Case Report: A case report highlighting bilateral EDB wasting as a clinical marker for lumbar canal stenosis

F1000Research ◽  
2015 ◽  
Vol 4 ◽  
pp. 467
Author(s):  
Bijoy Mohan Kumar ◽  
Sunil Munakomi
Keyword(s):  
Case Report ◽  
Spinal Canal ◽  
Lumbosacral Spine ◽  
Clinical Marker ◽  
Lumbar Canal Stenosis ◽  
Canal Stenosis ◽  
Canal Diameter ◽  
Therapeutic Decisions ◽  
Straight Leg Raising ◽  
Clinical Clue

Herein we discuss a case of a 55 year old male presenting with history suggestive of sciatica on the left leg. Straight leg raising (SLR) test was positive at 45 degrees on the left side. His ankle reflex was absent and the power of extensor hallusus longus (EHL) was 4/5 on the same side. MRI lumbosacral spine revealed left paramedian disc prolapsed on L4/L5 level with spinal canal diameter of 9mm.However since his bilateral extensor digitorm brevis (EDB) were wasted, we suspected associated lumbar canal stenosis and thereby opted for laminectomy and discectomy in this case. Intraoperatively dural wasting, hypertrophied facets and narrow canal were confirmed. Laminectomy, medial facectectomy and discectomy were carried out. The patient recovered uneventfully with resolution of his sciatica-like pain. Bilateral EDB wasting thereby provides a clinical clue to the underlying lumbar canal stenosis and can help in making correct therapeutic decisions.

scholarly journals Ligamentum Flavum Cyst - A Rare Cause of Lumbar Canal Stenosis: A Case Report with Review of Literature

2021 ◽  
Vol 6 (1) ◽  
pp. 57-60
Author(s):  
Sanyam Jain ◽  
Pankaj Jindal ◽  
Puneet Girdhar ◽  
Bhupendra Bharti ◽  
Rajesh Verma
Keyword(s):  
Case Report ◽  
Ligamentum Flavum ◽  
Review Of Literature ◽  
Lumbar Canal Stenosis ◽  
Canal Stenosis

Spinal canal stenosis at the level of the atlas: Case report

1994 ◽  
Vol 41 (3) ◽  
pp. 238-240 ◽  
Author(s):  
Koji Tokiyoshi ◽  
Hidemitsu Nakagawa ◽  
Tsuyosi Kadota
Keyword(s):  
Case Report ◽  
Spinal Canal ◽  
Spinal Canal Stenosis ◽  
Canal Stenosis

Distraction of facets with intraarticular spacers as treatment for lumbar canal stenosis: report on a preliminary experience with 21 cases

2013 ◽  
Vol 19 (6) ◽  
pp. 672-677 ◽  
Author(s):  
Atul Goel ◽  
Abhidha Shah ◽  
Madan Jadhav ◽  
Santhosh Nama
Keyword(s):  
Root Canal ◽  
Spinal Canal ◽  
Joint Space ◽  
Degenerative Disease ◽  
Spinal Segment ◽  
Lumbar Degenerative Disease ◽  
Lumbar Canal Stenosis ◽  
Canal Stenosis ◽  
Before And After

Object The authors report their experience in treating 21 patients by using a novel form of treatment of lumbar degenerative disease that leads to canal stenosis. The surgery involved distraction of the facets using specially designed Goel intraarticular spacers and was aimed at arthrodesis of the spinal segment in a distracted position. The operation is based on the premise that subtle and longstanding facet instability, joint space reduction, and subsequent facet override had a profound and primary influence in the pathogenesis of degenerative lumbar canal stenosis. The surgical technique and the rationale for treatment are discussed. Methods Between April 2006 and January 2011, 21 cases of lumbar degenerative disease resulting in characteristic lumbar canal stenosis were treated in the authors' department with the proposed technique. The patients were prospectively analyzed. There were 15 men and 6 women who ranged in age from 48 to 71 years (mean 58 years). Nine patients underwent 1-level and 12 patients underwent 2-level treatment. Surgery involved wide opening of the articular joint, denuding of the articular capsule/endplate cartilage, distraction of the facets, and forced impaction of Goel intraarticular spacers. Bone graft pieces obtained by sectioning the spinous processes were placed within and over the joint and in the midline over the adequately prepared host area of laminae. The Oswestry Disability Index and visual analog scale were used to clinically assess the patients before and after surgery and at follow-up. The alterations in the physical architecture of spinal canal and intervertebral foramen dimensions were evaluated before and after placement of the intrafacet implant and after at least 6 months of follow-up. Results All patients had varying degrees of relief from symptoms of local back pain and radiculopathy. Impaction of spacers within the facet joints resulted in an increase in the spinal canal and intervertebral root canal dimensions (mean 2.33 mm), reduction of buckling of the ligamentum flavum, and reduction of the extent of bulge of the disc into the spinal canal. The procedure resulted in firm stabilization and fixation of the spinal segment and provided a ground for arthrodesis. No patient worsened neurologically after treatment. During the follow-up period, all patients had evidence of segmental bone fusion. No patient underwent reexploration or further surgery of the lumbar spine. Conclusions Impaction of the spacers within the articular cavity after facet distraction resulted in reversal of several effects of spine degeneration that had caused spinal and root canal stenosis. The safe, firm, and secure stabilization at the fulcrum of lumbar spinal movements provided a ground for segmental spinal arthrodesis. The immediate postoperative and lasting recovery from symptoms suggests the validity of the procedure.

Misplacement of Stent Into Epidural Venous Plexus With Resultant Cauda Equina Syndrome and Open Surgical Treatment: A Case Report

2017 ◽  
Vol 15 (3) ◽  
pp. E23-E26 ◽  
Author(s):  
Benjamin B Whiting ◽  
Celene B Mulholland ◽  
Lorin Daniels ◽  
U Kumar Kakarla ◽  
Nicholas Theodore ◽  
...  
Keyword(s):  
Case Report ◽  
Endovascular Therapy ◽  
Spinal Canal ◽  
Cauda Equina Syndrome ◽  
Cauda Equina ◽  
Foraminal Stenosis ◽  
Venous Plexus ◽  
Invasive Treatment ◽  
Endovascular Stents ◽  
Canal Stenosis

Abstract BACKGROUND AND IMPORTANCE Endovascular therapy has proven to be a safe, minimally invasive treatment for multiple etiologies, but proper precautions must be taken to avoid complications. When complications occur, they should be promptly identified and corrected when possible. This case report describes endovascular stents misplaced into the epidural spinous venous plexus rather than the iliofemoral arteries, causing cauda equina syndrome, as well as the spinal procedure performed to treat the resulting spinal canal compression. CLINICAL PRESENTATION A 67-yr-old man had undergone what he thought was iliofemoral arterial stenting at an outside hospital for peripheral vascular disease. He presented 8 d later to our hospital with cauda equina syndrome comprising back pain, right L5 radiculopathy, perianal numbness, urinary retention, and constipation. Scans demonstrated stents deployed into the venous system, traversing the spinal canal and the right L5-S1 neural foramen, resulting in severe spinal canal stenosis, right L5-S1 foraminal stenosis, and moderate left S1-S2 foraminal stenosis. The patient underwent an L5-S1 laminectomy with full right L5-S1 facetectomy and left S1-S2 medial facetectomy, with associated L5-S1 posterolateral fusion with fixation to remove the stent and decompress the neural elements. CONCLUSION Although stent misplacement is an uncommon complication of endovascular therapy, this case demonstrates the importance of ensuring access to the proper vessel before stent placement. Once this complication was recognized, safe removal of the stents was possible and the patient demonstrated meaningful postoperative improvement in symptoms and strength.

Thoracic spinal canal stenosis: a case report

1994 ◽  
Vol 18 (2) ◽  
pp. 126-128 ◽  
Author(s):  
E. Ilkko ◽  
J. Pyhtinen ◽  
J. Sajanti
Keyword(s):  
Case Report ◽  
Spinal Canal ◽  
Spinal Canal Stenosis ◽  
Canal Stenosis ◽  
Thoracic Spinal
Sign in / Sign up

Export Citation Format

Share Document