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The
patient came
to the clinic 29-December-2009 complaining of
LBP for 9 years with right sciatica for one year
down to the heel of the right foot. |
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MRI lumbar spine performed 16-September-2009
showing extruded disc L5-S1 central more to the
right. |
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On examination the
patient can walk more than 1Km with SLRS 80
degrees both sides with weak dorsi and
planterflexion right foot 4/5. |
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The patient was
advised to keep in conservative measures and if
she deteriorate in the future then to reevaluate
her condition. |
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The patient then
came 12-May-2010 claiming that her condition is
deteriorating and the weak planterflexion right
foot became 3/5 with hypalgesia right S1 root
territory. SLRS was 75 degrees in the right with
pain. The patient is limping with exaggerated
scoliotic stance. |
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The patient was sent
to new MRI which was performed and demonstrating
extruded disc L5-S1 with right foraminal
occlusion. |
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Right L5-S1 hemiflavotomy with right S1
foraminotomy was achieved. The extruded disc was
removed after what the right S1 root became lax.
Further meticulous cleaning of L5-S1 space was
performed from the right side. |
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Smooth postoperative recovery and the power of
the right foot became normal.. |
