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MANAL MUHAMED NIZAR MIHYAR 51 YEARS RECURRENT EXTRUDED DISC L5-S1 WITH LEFT
The patient was operated by me 15-March-2017 and
the last day got agonizing left sciatica for
what urgent MRI and Lab test were performed
23-March-2017. MRI showed recurrent disc L5-S1
with left foraminal occlusion.
On examination, the patient is in agonizing
sciatica left side and walking with difficulty.
There is no neurologic deficit. The patient was
taken immediately to the operating room.
Revision of the wound with exposure of the left
S1 root. The extruded disk was removed lateral
to the axilla of the left S1 root. Inspection of
the subaxillary area was performed. Left sided
cleaning of L5-S1 disc space was performed.
Routine closure of the wound.
Smooth postoperative recovery. The sciatica
disappeared. She was sent to the ward.
The patient still having an estimated
postoperative recurrence around 7%, because the disc space
is still not shallow.
The previously used MultiGen did not help when gross
anatomical compression was applied to the root. It seems
that, the pain transmission take over other fibers, beside
the C- and unmyelinated fibers, as in this case.