Lumbar Surgery Case Study

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.

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: 12/3/2012. The patient is a 49-year-old male route sales representative who sustained a work-related injury to his lumbar spine and shoulders while lifting a bread rack out of his truck. Patient is status post bilateral L4-5 laminotomy, complete facetectomy and foraminotomy on 01/14/15.

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.

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.

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

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.

On the statement of medical necessity per MG-2 form dated 07/13/16, patient has been experiencing severe lumbar spine pain/spasms since the injury. She complains of lumbar spine pain with cramps in the lower extremity going down to the feet, associated with tingling sensation. There is left greater than right L3-S1 pain and spasms, left greater than the right L3-4, L4-5 and L5-S1 facet joint pain, upon posterolateral extension at 45 degrees. There is bilateral sacroiliac joint tenderness. There is tenderness over the right lateral quadriceps muscle. Range of motion (ROM) is limited secondary to

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.

MRI of the lumbar spine dated 11/02/16 showed status post right sided microdiscectomy at L5-S1. There is an enhancing scar tissue between the right L5 transverse process, right facet joint and sacrum with tiny 5 mm focus of fluid signal intensity likely seroma/minimal residual seroma. The iliolumbar ligament adjacent to the scar tissue appears to be intact.

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

One problem senior citizens deal with nowadays is spinal cord injuries, spinal injuries are a severe issue, and can even be life-threatening, it is a dangerous obstacle that facing almost everyone at some point in their lives. I think Amy who is a medical student aware of if a broken vertebra pinches a spinal nerve, paralysis may result. The backbone is a column of vertebrae accumulated on top of each order to make a joint that begin from the base of the skulls to the tail bone. Each vertebra is hollow through the center where the spinal cord runs through; all these elements are something Mrs. Jones should know before agree for spinal fusion surgery. A spinal fusion surgery is intended to prevent the motion at a painful vertebral portion,

One of the studies that included the risk factors of the lumbar spine in relation to overweight was that of (Liuke et al., 2005), with 129 working middle aged man study from a cohort of 1832 men representing the occupations of machine divers, construction carpenters and office workers. The selection was based on the participant’s age (40-45 years old) and place of residence. More specifically, they measure with MRI the signal intensity of the nucleus pulposus of the discs L2/L3-L4/L5 using the adjacent cerebrospinal fluid as an intense reference. The questioner of this research was based upon the weight at age 25 and 40-45, history of car driving, smoking and back injuries. The results of these measurements are multiple regression analyses

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