 |
The patient came to the
clinic 21-October-2003 complaining of LBP for 2
years with intermittent course. Right
sciatica for 1 year. |
|
|
MRI lumbar spine performed
19-October-2003 showed wide-based extrusion of
L5-S1 more to the right. |
|
|
On examination at that time:
SLRS was 50 degrees in the right with pain
with weak dorsiflexion right foot 4/5. The
patient was advised to undergo conservative
treatment. |
|
|
The patient then came
20-October-2008 with exacerbation of LBP and
right sciatica the last 7 months. MRI performed
04-March-2008 showed small extrusion of L5-S1
right side. one week ago after coughing the
patient got an agonizing sciatica and start to
limp. |
|
|
On examination: the patient
is limping with exaggerated scoliotic stance,
with SLRS 15 degrees in right side with pain and
weak dorsi and planterflexion right foot -4/5. |
|
|
MRI lumbar spine was
performed 21-October-2008 showing huge extruded disc
L5-S1 with right downward migration. |
|
|
Partial flavotomy L5-S1 right
side with foraminotomy right S1 root was
performed. The new downward migrating disc
material was removed lateral to the axilla. The
old disc martial also was compressing the root,
for what removal of the calcified annulus
fibrosis with the hard disc material was removed
to achieve proper decompression. Meticulous
cleaning of the disc space was done from the
right. |
|
|
Smooth recovery with prompt
improvement of the power of the right foot. |
