The patient came to the clinic 12-April-2006 complaining of LBP for
3 years with bilateral sciatica with inability to stand more
than 2 minutes. MRI done 10-April-2006 showing LCS L4-5 with
central bulge. The patient can walk 1 Km but cannot stand.
Limping for several months. The patient was treated for
osteoarthritis right hip several months ago.
On examination, the
patient had weak dorsiflexion both feet and planterflexion left
foot. The patient is pharmacology specialist with Ph. D. degree, and
all pain-killers he used were without effect.
The patient underwent decompressive partial laminectomy L4 and L5
to eliminate all the compressive elements. Foraminotomy both L5
roots was performed. Inspection of the disc surface from both sides
was not convincing for removal, for what it was not violated.
Routine closure and smooth postoperative recovery. The power both
feet normalized immediately in the recovery room.