The patient came to the clinic with agonizing pain with
sciatica and severe weak dorsi and planterflexion of the right foot
with SLRS right 10 degrees. She was sent for MRI lumbar spine, confirming the presence of
huge prolapsed disc L4-5 right side and small bulge L5-S1.
The patient was operated: Right L4-5 hemiflavotomy was performed,
and the extruded disc was removed lateral to the axilla and minimal
cleaning of the disc space of L4-5 was done. Check of the foramen of
left L5 root was negative for presence of compression. Foraminotomy
right L5 root was achieved.