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The patient started to complain of
left sciatica for 8 months and MRI performed 20-March-2005 showed
huge disc L4-5 with left downward migration. The patient came to the
clinic with agonizing pain and right sciatica for 4 days. On
examination, he had weak dorsiflexion both feet and planterflexion
left foot. New MRI performed, which showed that a fragment in the
lower part shifted to the right. The patient underwent bilateral
flavotomy L4-5 with bilateral foraminotomy L5 and the extrusion was
removed from the left side and bilateral cleaning of L4-5 disc space
was performed. Inspection of the right L5 root confirmed that the
lately dislodged part was removed with the major big extrusion in
one piece.
Prompt postoperative recovery and
the patient discharged the next postoperative day without sciatica
and full power of his feet.
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