The patient came to the clinic 12-August-2002 complaining of LBP for 12 years without sciatica. Exacerbation the last 3 months. 20 days ago suffered RTA with contusion of the left thigh. 7 days later got severe LBP with right sciatica down to right L5 territory. The patient is a known diabetic for 10 years and parkinsonian under treatment with irritable colon.

On examination: The patient in agonizing pain, limping with exaggerated scoliotic stance. SLRS 80 degrees right side with pain. There is drop dorsi and planterflexion right foot with hypalgesia right L5 and S1 territory.

The patient was sent for investigations and MRI lumbar spine performed 17-August-2002 showing huge central disc L5-S1, more to the right.

Bilateral S1 foraminotomy with removal of the extrusion lateral to the axilla. Bilateral intradiscal cleaning L5-S1. Osteophytectomy right side was achieved to eliminate bony compression. The patient was put in Reverse Trendelenburg position with Valsalva maneuver and hyperventilation. No CSF leak. Routine closure of the wound.

Smooth postoperative recovery. The power of right foot still the same. He was sent to the ward.

The patient came to the clinic 31-August-2002 with clean wound and SLRS was 80 degrees without pain, but drop right foot with hypalgesia right L5 and S1 territories.

The patient came several times and MRI performed 28-January-2003 there is discitis, for what antibacterial treatment started.

The last time he came to the clinic 11-October-2003 with LBP and bilateral sciatica, more the right. SLRS was 90 degrees both sides without pain weak right foot dorsiflexion 3/5 and diabetic neuropathy.

There is still an estimated postoperative recurrence around 7%, because the disc space is not shallow.

Old age and diabetes can trigger infection even several months after surgery.

Video recording was badly mounted that the camera was not centered and the field of illumination was also not coaxial and not powerful, despite the fact that BFW Parallax system was used.