 |
The patient
came to the clinic 21-November-2009
complaining of LBP with left sciatica for 5
years. The last 8 months exacerbation of
sciatica and inability to walk with shuffling
gait. |
|
|
The patient was
limping with exaggerated scoliotic stance. SLRS
85 degrees in the right and 60 degrees in the
left. He had weak dorsiflexion left foot 4/4 and
planterflexion 3/5 with hypalgesia left S1 root. |
|
|
MRI lumbar spine performed
22-November-2009 showing extruded disc L4-5
central more to the left with downward
migration. |
|
|
Bilateral L4-5 flavotomy with
exposure of the compressed left L5 root.
There was no epidural fat due to severe
compression. Using image-intensifier during all
steps of surgery the level of L4-5 was confirmed
and the extruded disc was removed lateral to the
axilla of left L5 root. Meticulous cleaning of
the disc space of L4-5 was achieved from the
left. |
|
|
PEEK Satellite nucleus
replacement sphere No 12 was inserted and check
in AP and lateral views was done confirming
acceptable position of the device. |
|
|
Routine closure of the wound
and smooth postoperative recovery and
improvement of the power of left foot. |
