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The patient came to the
clinic 15-April-2008 complaining of severe left
sciatica for 4 days with LBP and numbness of
left L5 territory. |
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The patient was operated 1981
for PL L5-S1 with left sciatica. He was operated
another time by me 01-October-2003 for
recurrence at the same level. |
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The patient then came
26-September-2007 with exacerbation of the left
sciatica and hypalgesia of left S1 root. MRI of
the lumbar spine performed 27-September-2007
showed small extrusion of L4-5 left side and no
recurrence at L5-S1 level. The patient was
advised to undergo conservative treatment. |
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SLRS was 80 degrees in the
right and 40 degrees in the left with pain.
Limping when walking and exaggerated scoliotic
stance. He had weak dorsiflexion left foot. |
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MRI of the lumbar spine
performed 16-April-2008 showed extruded disc
L4-5 with left foraminal occlusion and downward
migration. |
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Left L4-5 hemiflavotomy with
left L5 root foraminotomy was done. The extruded
disc was removed lateral to the axilla and left
sided cleaning of the L4-5 space was achieved. |
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Routine closure of the wound
with smooth postoperative recovery. |
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Considerable improvement of the
power of the left foot. |
