The patient came to the Shmaisani hospital with agonizing left sciatica and inability to walk for one week. She started to complain of LBP and left sciatica for one month.

MRI performed 2 days before the admission, showed a huge extruded disc L4-5 with left downward migration.

The patient had weak planterflexion left foot and almost drop left foot. Hypalgesia of the left L5 territory and numbness of the big toe left foot.

Left L4-5 hemiflavotomy was performed and foraminotomy of left L5 root was achieved. The extruded disc under the root was identified and removed in piece-meal fashion, after what the root became lax.

Left sided cleaning of the disc space of L4-5 was performed. The disc space was shallow.

Routine closure of the wound and smooth postoperative recovery.

The patient has shallow disc space, which make the estimated recurrence lower than average.

The extruded disc was compressing the root, for what an agonizing pain was the prominent feature in her clinical picture.