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05-MAY-2008  ALIA MAHMOUD AL-KOOZ  42 YEARS  EXTRUDED DISC L5-S1 WITH RIGHT DOWNWARD MIGRATION.

Anamnesis:

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The patient came to the clinic 22-April-2008 complaining of LBP with right sciatica for two months. She was limping  with SLRS 70 degrees with pain in the right and 80 degrees in the left. She had weak dorsi and planterflexion right foot 4/5.

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MRI performed 28-April-2008 showed right extruded disc L5-S1 with root compression.

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Right L5-S1 hemiflavotomy with right S1 root foraminotomy was performed and the extruded disc was removed lateral to the axilla and meticulous cleaning of the disc space was achieved from the right.

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Routine closure of the wound with smooth postoperative recovery.

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Considerable improvement of the power of the right foot.

Comments

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Even the extrusion, was not big in size, but it was rubbery in consistency and compressing the root directly. In this case the conservative treatment will fail, for what surgery was preferred.

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The estimated recurrent rate in this case is around 7%, because the disc height still acceptable, despite the fact that meticulous cleaning was achieved, but from only one side.

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