The patient came to the clinic 26-June-2006 complaining of LBP for 5
years. Exacerbation of left sciatica the last 45 days down to left
MRI lumbar spine performed 19-June-2006 showed huge
extrusion of L5-S1 central with left downward migration.
On examination: the patient was limping with scoliotic stance
with SLRS 70 degrees in the right and 60 degrees in the left. He had
hypalgesia of the left S1 root territory with weak planter and
dorsiflexion left foot.
Left L5-S1 hemiflavotomy was performed with foraminotomy of left
S1 root. The extrusion was removed lateral to the axilla in 2
pieces. Using the defect in the annulus fibrosis, through which the
extrusion took place minimal cleaning of the already narrowed disc
space was performed. Routine closure of the wound. Smooth