Clinical case

Foraminal hernia and canal stenosis surgery

Today we have a patient who was unable to perform daily tasks due to severe pain in her left leg, which had a direct impact from the L5 Root.

Preoperative

Furthermore, the patient suffered with positive lasege and bragardt and had altered reflexes.

In order to make a diagnosis, we observed the patient's evolution in the frame and the L5-S1 foraminal hernia for 6 months and located the problem. It presented a canal stenosis between the L4-L5 vertebrae as can be seen in the following images.

Operation

In order to carry out the operation, we perform a posterior inter-laminar approach with a guide needle and inside a dilator that allows us not to damage any neurological, muscle or bone tissue and directly access the area in which we are going to work.

We proceed to release the canal from the stenosis very delicately and checking that no remains remain, all through a very precise 3mm skin incision.

After carrying out this emptying, we check how the neurological structures are adequately released, ensuring that the space that now remains is correct.

Postoperative

In the postoperative period, we found that the patient, upon waking up, immediately reported a clear improvement in her symptoms, with the pain in her leg and the sensation of paresthesia having completely disappeared, thanks to the release of the canal stenosis.

In approximately 5 hours she is discharged from the hospital with a completely normal gait and carrying out a completely daily life activity. Recovery is very fast with a very positive evolution for the patient.