The patient came to the clinic 15-March-2006 complaining of LBP with right
sciatica for 3 months with positive cough sign down to L5 territory.
MRI done 02-March-2006 showed extruded disc L4-5 with right downward
migration with bulge L5-S1 disc.
The patient has
G6PD deficiency. On examination, the patient was
limping with SLRS 40 degrees in the right, hypalgesia right L5
and S1 territories with weak planter and dorsiflexion right foot. The patient
was advised to undergo surgery.
Right L4-5 hemiflavotomy with L5 root foraminotomy was done and
the extrusion was removed lateral to the axilla. Meticulous cleaning
of the disc space was done from the right side. Routine closure of
the wound. The power of the right foot normalized immediately in the