The patient came to the
clinic with complains of right sciatica and numbness of the right
foot with inability to walk more than 100 meter. MRI performed
showing huge extrusion of L5-S1 root with downward migration in the
right side with elements of LCS L4-5. The patient is USA citizen and
came after escalation of his symptoms.
Laminectomy of L5 with foraminotomy of right S1
root was performed. The completely migrating huge fragment was
removed from under the axilla. Bilateral flavotomy L4-5 was done to
remove the stenotic elements at that level.