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05-AUGUST-2008  MAYSOON MUHAMED ABU-AMIREH  40 YEARS  EXTRUDED DISC L5-S1 WITH LEFT DOWNWARD MIGRATION.

Anamnesis:

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The patient's husband came to the clinic 04-August-2008 telling that his wife is complaining of agonizing left sciatica for 2 weeks with LBP for 5 years, which escalate the last 45 days.

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MRI performed 2 hours ago showing an extruded disc L5-S1 with left downward migration.

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On examination before surgery: the patient has weak dorsi and planterflexion left foot -4/5 with hypalgesia and numbness of the left S1 territory.

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Left L5-S1 hemiflavotomy with foraminotomy of left S1 root was performed. No epidural fat above the compressed neural elements. The extruded disc was removed lateral to the axilla. Meticulous cleaning of the disc space from the left.

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Routine closure with smooth postoperative recovery with normalization of the power of the left foot.

Comments

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The estimated recurrence rate in this case is below the average, because the disc space height is shallow.

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