Minimally Invasive Surgery for Lumbar Degenerative Listhesis with Canal Stenosis
Published by Dr. Mayur Kardile — Pune Spine Institute
Case Overview
A 53-year-old lady weighing 130 kg presented with gripping pain in both lower limbs while walking — a classic symptom of neurogenic claudication.
MRI revealed narrowing of the space available for the lumbar nerve roots at L4-5 level (Lumbar Canal Stenosis). This was accompanied by slipping of the L4 vertebra forward over L5 (Degenerative Listhesis).
Despite her significant weight, which increases surgical risks, she was successfully treated with minimally invasive spine surgery. The minimally invasive approach was specifically chosen because it causes less blood loss, less muscle damage, and faster recovery — particularly important for high-BMI patients.
The surgery corrected the listhesis and decompressed the nerve roots, eliminating her leg pain and allowing her to walk without discomfort.
Key Case Highlights
- 153-year-old, 130 kg lady with gripping pain in both legs while walking
- 2MRI: L4-5 canal stenosis with degenerative listhesis
- 3Minimally invasive spine surgery chosen for high-BMI patient
- 4Less blood loss and muscle damage vs open surgery
- 5Hospital stay 4–5 days; back to normal life within weeks
- 6Excellent relief from neurogenic claudication symptoms
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Dr. Mayur Kardile
MS Orth | DNB | MCh (Toronto) | FRCSC
Fellowship-trained spine surgeon from Toronto. Trained in North America with expertise in complex deformity correction, minimally invasive surgery, and revision spine procedures.
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