The patient came to the clinic 04-December-2013 complaining of left sciatica for 1 month with numbness of the III-V toes left foot.

MRI lumbar spine done 10-November-2013 showing extruded disc L5-S1 with left downward migration with bulge L3-4 and L4-5.

On examination is limping, in agonizing pain with exaggerated scoliotic stance. SLRS was 70 degrees left side with pain. There is weak dorsiflexion left foot -4/5 and planterflexion 4/5. There is hypalgesia left S1 root territory and absent left AJ.

Using DePuy Spine Spotlight microdiscectomy tubular retractor system 21mm, foraminotomy of left S1 root was achieved and partial flavotomy. The extruded disc was removed lateral to the axilla of left S1 root. Left side cleaning of L5-S1 was done. Subaxillary inspection of remnants was negative. The root was hanging free. Routine closure of the wound.

Smooth postoperative recovery. The power of the left foot became normal.

The estimated postoperative recurrence is still around 7%, because the disc space is still not completely shallow.

The system is ideal as only retractor, but lacking a lot of options. The skin incision needed was 25 mm length to insert the tubular of 21 mm inner diameter. The illumination was weak and required another sources to keep good quality light to work. Video recording is a miserable one as seen in the video.