c l i n i c a l f o l i o s : n a r r a t i v e





A D V E R T I S E M E N T

 

Lumbar Laminectomy for Spinal Stenosis: 1

A D V E R T I S E M E N T

   
 

A 50-year-old woman presented with a one year history of back and leg pain. The leg pain occurred with exercise, and was slow to resolve with rest, consistent with neurogenic claudication. Peripheral vascular examination was normal. Sagittal MRI of the lumbar spine showed multi-level degenerative joint disease, worst at L4-5, A central disk herniation at L4-5, and spinal canal stenosis between L3 and S1.      

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Lumbar Laminectomy for Spinal Stenosis: 2

A D V E R T I S E M E N T

   
 

An axial cut at L4 shows severe spinal canal stenosis, splaying out the cauda equina (see spinal cord blood supply).       

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Lumbar Laminectomy for Spinal Stenosis: 3

A D V E R T I S E M E N T

   
 

The normal contour of the spinal canal at L2 is shown for comparison.       

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This page was last modified on 1/22/2002.