Lumbar Surgery Case Study

IAT is reporting they received an adverse verdict in the amount of $2,305,376 on 10/13/16, with likelihood the plaintiff will be awarded additional monetary damages based on jurisdictional laws.

DOI: 7/7/2015. The patient is a 48-year-old male cleaner who sustained a work-related injury to his back while moving a heavy bookcase. As per OMNI, the patient was diagnosed with lumbar degeneration, thoracic or lumbosacral neuritis and myofascial pain.

DOI: 9/30/2011. Patient is a 41-year-old male information technology computer support specialist who sustained injury while he was walking through a lobby when he slipped and fell. Per OMNI, he was initially diagnosed with lumbar intervertebral disc syndrome, myofasciitis and right arm strain. He underwent a right shoulder surgery on 07/16/13 and 12/22/15.

DOI: 06/23/2011. This is a case of 41-year-old male maintenance worker who sustained injury to the low back while taking off a sliding door of a patio. As per OMNI notes, patient is diagnosed with lumbar disc disorder with myelopathy. MRI of the lumbar spine dated 6/28/15 revealed recurrent left paramedian L4-5 disc herniation with caudal extrusion of a 10 mm fragment into the left L5 lateral recess. As per office notes dated 7/25/16, the patient is status post redo left L5-S1 discectomy performed on 4/20/16. It was also noted that the patient had a prior L5 laminotomy several years ago. He subsequently did well. However, he had recurrence of his pain. Pain is radiating into his left leg worse on the right leg. This was unresponsive to conservative

MRI of the lumbar spine dated 07/30/15 demonstrated interval post-surgical change with removal of the disc extrusion at L4-5. There is residual granulation tissue versus broad-based left paracentral disc protrusion with left lateral recess stenosis.

S: Aerotek TM is in HMMA Medical Clinic to follow up with Low Back strain with lumbar radicular pain that radiates down to back of his RIGHT HEEL. According to TM the incident occurred on 6/14/17. TM’s initial radicular pain was down to his left leg but now it is down to his right leg. According to TM for the past 6 weeks he hasn’t done nothing but raying around the house, and his back is not getting batter.

MRI of the lumbar spine dated 12/11/15 reveals disc desiccation with associated loss of disc height at L5-S1; posterior annular tear at L5-S1; hemangioma at L5; and L5-S1 focal right paracentral disc herniation which abuts the thecal sac. Disc measurement is 3.3 mm.

DOI: 10/11/2001. Patient is a 51-year-old female tandem system operator who sustained a work-related injury while she was pushing sleeve off the top deck and felt muscle pull in low back and left leg. Per OMNI, she underwent laminectomy and discectomy on 7/23/2002 and another decompression laminectomy on 8/28/2007. She had dorsal column stimulator surgery on 10/14/2008 and reposition on 3/9/2009. This was then removed in November of 2010.

As of this report, an MRI done on 03/14/16 showed multilevel lumbar spondylosis. No significant central canal stenosis was noted. There were few areas of neural foraminal stenosis secondary to disc bulging and mainly bilateral facet

DOI: 05/07/1980. The patient is a 73-year-old male foreman who sustained a work-related injury to his lumbosacral spine, left knee, and right heel when a pile of lumbar fell on him. Patient is diagnosed with lumbar post laminectomy syndrome, foot drop, and non-union fracture. He has a history of hypertension and diabetes. He is status post 3 back surgeries, laminectomy at L4 to S1 in 1973, bilateral decompression laminectomy and discectomy at L4 to S1 in 1981, and 2-level fusion with failed fusion in 1991.

DOI: 11/13/2014. Patient is a 32-year old male technician who sustained injury at the time he was breaking loose a pulser component, he felt a sharp pain to his right side, low back buttocks and right leg. The patient was subsequently diagnosed with lumbar degenerative disc disease, radiculopathy and, lumbar spinal stenosis. Per MRI of lumbar spine without contrast dated 12/23/14 revealed at L4-5 there is disc space height loss, disc bulging and facet degenerative change; at L5-S1 there is posterior disc bulging resulting in mild narrowing of the central canal, and; at T11 to T12 there is posterior disc bulging resulting in mild narrowing of the central canal. As per focused history and physical dated 3/17/15, patient is presented to the office

This is a 63-year-old male with a 6/13/1992 date of injury, when he fell off the roof of a building.

MRI of the lumbar spine done on 08/20/09 revealed multilevel mild chronic degenerative changes of the lumbar spine, most notable at L5-S1, L4-5 and L3-4 on the basis of chronic degenerative changes.

Of note, MRI of the lumbar spine obtained on 08/25/14, at L4-L5, there is a 2mm anteroposterior (AP) annular bulge eccentric to the right, abutting the transverse right L5 nerve roots without evidence of compression. There is a small left paracentral annular fissure. Minimal canal stenosis is noted, mild to moderate right and minimal left “NFN.”At L5-S1, there is a 3 mm AP broad-based central left paracentral disc protrusion abutting the traversing left S1 nerve roots without definite compression. Minimal facet disease is seen. Minimal canal stenosis and mild left “NFN” are seen. At L3-L4, 2 mm AP annular bulge is demonstrated. There is a minimal facet disease. Minimal canal stenosis and minimal bilateral “NFN” are seen. There is a mild dextroscoliosis centered at L2-L3.

DOI: 2/17/2014. Patient is a 55-year-old female cashier who felt pain on the left side of lower back and left foot due to walking incorrectly due to a previous work injury. The patient is subsequently diagnosed with postlaminectomy syndrome, not elsewhere classified; degenerative disc disease, lower back; arthropathy of lumbar facet; and low back pain. MRI of the lumbar spine without contrast dated 1/4/16 (no official report) revealed posterior fusion at L4-5 with right L5 laminotomy defect; and mild degenerative disc disease at L3-4, there is moderate narrowing of the L3 neural foramina bilaterally. As per office notes dated 7/6/16, the patient presents for ongoing evaluation and medication refill. He rates his pain as 9. His pain is located