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The patient came to the
clinic with complains for 4 weeks with exacerbation the last 4 days
an agonizing pain in the back and left sciatica with drop left foot
and weak planterflexion. She had also anaesthesia of both left L5
and S1 roots. She was unable to stand to evaluate her scoliosis. MRI
performed showing huge extrusion of L5-S1 disc with down and left
far-lateral migration.
The patient was slim and through 15 mm skin
incision, it was possible to perform left L5-S1 hemiflavotomy and
left S1 foraminotomy with removal of the extrusion lateral to the
axilla. Minimal cleaning of the disc space was performed. | 
