Please! wait for 3-5 min till the
video start to load. It depends upon the internet
to the clinic 13-April-2002 complaining of LBP
with left sciatica for 7 months. MRI performed
16-April-2002 showed huge extruded disc L4-5 and
surgery was advised and disappeared.
The patient then
came 19-July-2010 complaining of exacerbation of
the LBP with agonizing left sciatica.
On examination: the
patient had exaggerated scoliotic stance,
limping, weak dorsiflexion and planterflexion left foot 4/5.
The patient also had enlarged thyroid.
MRI lumbar spine
performed 20-July-2010 showing the same
extrusion central more to the left. Thyroid
functions showed high TSH with multinodular
Partial flavotomy of the L4-5
left side with foraminotomy left L5 root. The
extruded disc was removed in several pieces and
meticulous cleaning of the disc space was
achieved from the left side.
Smooth postoperative recovery
and improvement of the power of left foot.
This case demonstrate that
the patient can tolerate huge disc for long
time, but stress due to continuous pain caused
Some times it happens that
the disc extrusion resolve over the time, but
this phenomenon happens with in 3-4 months and
the patient recover completely.
In this case, this could was
the case and de novo extrusion took place at the
same level. Her distressing pain enforced her to
the surgical option.