Patient Name : Mr. Chavan
Age : 58 years
Introduction
This case highlights the successful treatment of multi-level L2–L5 lumbar canal stenosis in a 58-year-old man with chronic back and leg symptoms. After evaluation at The Spine Doctor – Bavdhan, Pune, he underwent Laminectomy with Posterolateral Fixation, leading to complete symptom relief and full functional recovery.
Patient History & Presentation
The patient presented with:
- Low back pain for 2 years
- Bilateral lower limb pain
- Pain triggered by sitting & bending forward
- Neurogenic claudication (10-minute walking tolerance)
- Sleep disturbance
- Prior spine surgery in 2008
- Weakness:
- EHL 4/5
- EDL 4/5
These signs suggested multi-level lumbar stenosis with nerve compression.
Diagnosis & Radiology Findings
MRI Lumbar Spine
- Degenerative L2–L5 stenosis
- L4–L5 Grade I listhesis
- L2–L3 right paracentral disc protrusion
- L5–S1 diffuse disc bulge
- Evidence of previous surgery
Interpretation
Multiple levels of narrowing compressed the nerves controlling leg strength and sensation, explaining walking difficulty and claudication.
Surgical Procedure – L2–L5 Laminectomy + Posterolateral Fixation
Steps:
- Multi-level decompression (L2–L5 laminectomy)
- Removal of hypertrophied bone & ligament
- Pedicle screw fixation (Jayon implants)
- Posterolateral fusion for stability
- Restoration of alignment
People Also Ask:
Is lumbar laminectomy effective?
Yes — it decompresses nerves and relieves pain.
When is fixation needed?
When listhesis or instability is present, as in this case.
Is revision spine surgery safe?
Yes, when performed with proper planning and stabilization.
Post-Operative Recover
- Relief from back pain
- Radicular pain reduced
- Walking tolerance improved
- Able to resume activities
- No surgical complications
- Returned to agricultural work
Long-Term Outcome
The patient achieved:
- Complete pain relief
- Normal daily activity level
- Return to farming
- No neurological symptoms
- High satisfaction
This case demonstrates the success of lumbar stenosis treatment in Pune using decompression + stabilization.
Why Surgery Was Necessary
- Multi-level severe stenosis
- L4–L5 listhesis
- Nerve root compression
- Neurogenic claudication
- Failure of conservative care
- Prior surgery with persistent symptoms
Delaying treatment risked worsening nerve damage.
About Dr. Sangram Rajale
Dr. Sangram Rajale is a leading Spine Surgeon in Pune, specializing in:
- Degenerative lumbar disease
- Revision spine surgery
- Minimally invasive fusion
- Endoscopic decompression
- Failed back surgery syndrome
Practicing at The Spine Doctor – Bavdhan, he delivers ethical, evidence-based spine care.
FAQs
Age-related degeneration, disc bulges, ligament thickening, and arthritis.
Patients walk early; improvement continues over weeks to months.
Yes — it stabilizes the segment long-term.
Yes, with proper planning and indications.