patient came to the clinic 04-September-2011
complaining of LBP since 20-July-2011 with left
sciatica . MRI lumbar spine done 30-July showing
disc L4-5 with left far-lateral extrusion.
examination: the patient is limping with
exaggerated scoliotic stance. There is weak dorsi
-4/5. SLRS was 75 degrees in the left side with
spine was repeated recently showing extruded
disc L4-5 with left foraminal occlusion and
far-lateral location, for
what surgery was advised.
Left L5 root foraminotomy
done. Left hemiflavotomy L4-5 achieved.
The left far-lateral extrusion was removed in
several pieces. The upward migrating pieces were
also removed. Left sided cleaning L4-5 disc
space was performed. Inspection for remnants of
the far-lateral extrusion revealed no
closure of the wound. Smooth postoperative
recovery with improvement of the power of