patient came to the clinic
29-January-2012 complaining of LBP, neck pain
for 16 years with bilateral sciatica, both knees
pain for 2 years, tinnitus left ear and left
ophthalmalgia for 2 years. The patient is a
known diabetic for 4 years and she underwent
discectomy L5-S1 2002 in Tunisia for left
examination: the patient limping and have
exaggerated scoliotic stance. There is no
sensory deficit with weak both upper limbs below
the biceps muscle 4/5.There is weak dorsi and
planterflexion left foot 3/5 and mild weak both
quadriceps muscles 4/5.
patient was sent for whole neuroradiologic
investigations, which done 31-January-2012 and
revealed small central extruded disc C4-5 and
huge central extruded disc L4-5 with severe
segmental stenosis. There was also sinusitis of
the left maxilla.
Decompressive laminectomy of
L4 and partial of L5. Bilateral flavotomy L4-5
with bilateral L5 root foraminotomy. The
extruded disc was removed from both sides.
Bilateral cleaning of L4-5 disc space.
closure of the wound. Smooth postoperative
recovery with normalization of the power of both