patient came to the clinic 21-October-2009
complaining of LBP and bilateral sciatica for 6
months with difficult standing. MRI lumbar spine
performed 10-October-2009 showing bulge L4-5.
SLRS was 45 degree in the left with weak
dorsiflexion both feet 4/5. The patient had
several complains for what MRI of the brain
cervical and dorsal spine were performed
22-October-2009 , which showed small PCD C5-6
and chronic sinusitis and empty sella. The
patient was advised to continue in conservative
patient then came 22-August-2011 complaining of
LBP for 4 months with left agonizing sciatica
for the last 2 weeks.
examination: the patient is limping with
exaggerated scoliotic stance. There is weak dorsiflexion
-3/5. SLRS was 50 degrees in the left side with
pain. There is diffuse papular skin eruption for
several days all over the body, mostly
chickenpox, which the
relatives are telling that it is now an epidemic
in their local area in Al-Jawf in Saudi Arabia,
for what antibiotics were started immediately.
spine was done 24-August-2011 showing extruded
disc L4-5 with left foraminal occlusion, for
what surgery was advised.
Left L5 root foraminotomy
done. Left hemiflavotomy L4-5 achieved. The
extruded disc was removed from under the axilla
in one big piece. Left sided cleaning of the
L4-5 disc space.
closure of the wound. Smooth postoperative
recovery with improvement of the power of