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Journal of Korean Neurosurgical Society > Volume 41(3); 2007 > Article
Journal of Korean Neurosurgical Society 2007;41(3): 207-209.
doi: https://doi.org/10.3340/jkns.2007.41.3.207
Unilateral Isthmus Resection for Elderly Foraminal Stenosis.
Dong Yeob Lee, Sang Ho Lee, Han Soon Lee
Department of Neurosurgery, Wooridul Spine Hospital, Seoul, Korea. nsspine@paran.com
ABSTRACT
We present an elderly patient with unilateral foraminal stenosis treated by isthmus resection. An 83-year-old female could not walk due to severe leg pain along right L5 sensory dermatome. Despite the laminotomy for spinal stenosis on the right side at the L4-5 level, her leg pain did not improve. Careful review of computed tomography scans and coronal source images of magnetic resonance myelography revealed foraminal stenosis on the right side at the L5 vertebra. Because of medical problem, she underwent isthmus resection on the right side at the L5 level instead of total facetectomy and fusion. After surgery, her leg pain was markedly improved. Isthmus resection showed successful result for this medically compromised elderly patient with unilateral foraminal stenosis.
Key Words: Isthmus; Resection; Radiculopathy; Lumbar vertebra
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