The patient came with
agonizing right sciatica for 4 days not permitting him sleep,
despite massive pain-killers to the emergency of Al-Shmaisani
hospital with almost drop right foot and weak dorsiflexion
and hypalgesia right L5 and S1 dermatomes. SLRS was 45 degrees in
the left and 10 degrees in the right with pain in the right hip
area. Examination for other pathologies were negative. MRI performed
one ago showing small extrusion of the L4-5 disc compressing the
already stenosed right foramen.
The patient was operated the morning of
11-January-2006. Right L5 foraminotomy was performed and the
extrusion was removed and minimal cleaning of the disc space was
performed. Check for the free foramen and laxity of the root was
performed. Routine closure.
The power of the right foot normalized
immediately after surgery.