The patient got left sciatica
without LBP for 4 months, with exacerbation of the sciatica the last
month. On examination he had almost drop left foot with weak
planterflexion of the same foot. SLRS was 10 degrees in the left.
MRI performed, showing huge extrusion of L5-S1 disc with downward
The patient underwent left L5-S1
hemiflavotomy with foraminotomy of left S1 root. The extrusion was
removed from under the axilla in one piece. Minimal cleaning of the
disc space considering that, the disc material was looking like more
or less a healthy tissue.