History:

A 59-year-old gentleman came to the OPD with complaints of bilateral lower limb radicular pain for the past one year, which had aggravated over the last one month. He also had mild lower back pain. There was a history of neuroclaudication on standing for less than 15 minutes and walking for less than 10 minutes. There was no history of tingling or numbness, no bowel and bladder complaints, and no history of sleep disturbance. The patient is a known case of diabetes mellitus and is on medication.

On Examination:

No midline tenderness

Heel and  toe walk possible

ROM – extension painful

Operation Procedure:

Tubular L3-L4 laminectomy, bilateral foraminotomy with decompression was performed under general anaesthesia on 24/01/2025 under Unit 3 Orthopaedics, supervised by Dr. S. N. Patil. The operating surgeon was Dr. Sangram Rajale.

Condition on Discharge:

The patient was stable and vitally stable, afebrile at the time of discharge. The suture line was healthy and dry, with no signs of pus or discharge. The patient was ambulating with full weight bearing. There was 100% reduction in lower limb pain. Active ankle and toe movements were present, and distal pulses were palpable.

MRI: