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Lumbar Spondylolisthesis

An 87-year-old lady's life was fraught with difficulties due to L4/5 lumbar spondylolisthesis and spinal stenosis. She suffered from chronic back pain, leading to restless days and nights, with frequent numbness and pain in her legs. Her weakened legs often caused her to fall at home or on the street, and she was troubled by frequent urination and constipation.

Her emotional well-being plummeted due to these symptoms, confining her to her home and stripping her of the opportunities to engage in physical and social activities. However, a significant change was on the horizon for her.

She underwent a four-hour minimally invasive neurosurgical spine surgery, which included L4/5 Transforaminal Lumbar Interbody Fusion (TLIF) and laminectomy for neural decompression. The surgery, which utilized a neural pathway monitoring system, greatly enhanced its safety and success rate. The aim was to restore spinal stability, alleviate back pain, relieve the compressed cauda equina nerves to eliminate leg numbness and pain, and improve her urinary and bowel habits.

The results post-surgery were uplifting. The elderly lady no longer felt pain or numbness in her legs, regained strength, and could walk with a more upright and steady posture. The issues of frequent urination and constipation were also resolved. She left the hospital with joy and a smile, actively participating in outpatient follow-ups. The recovery process went smoothly, with three small incisions healing well. Follow-up X-rays, CT scans, and MRIs showed the spinal slippage being corrected, all implants in ideal positions, and the compressed cauda equina nerves completely released.

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