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01-FEBRUARY-2008 MUNA MUHAMED IBRAHEEM 42 YEARS
EXTRUDED DISC L4-5 WITH LEFT FORAMINAL COMPRESSION.
Anamnesis:
The patient came to the
emergency of the Al-Shmaisani Hospital
01-February-2008 complaining of LBP with left
sciatica for 1 month, with exacerbation the last
week.
MRI of the lumbar spine
performed 2 days ago showing an extruded disc
L4-5 with left foraminal occlusion.
On examination: the patient
is unable to walk or stand and SLRS was 5
degrees in the left with drop left foot and weak
planterflexion that foot. Hypalgesia of the left
L5 territory.
Left L4-5 hemiflavotomy with
foraminotomy of left L5 root was performed. The
extruded disc was removed lateral to the axilla
and meticulous cleaning of the disc space of
L4-5 was done from the left side.
Smooth postoperative recovery
with improvement of the motor power of the left
foot.
Comments
Foraminotomy of the involved
root must be done in all disc surgeries to be
sure that there is no remnant left under the
axilla.
The disc space height was
shallow which means a low expected recurrence
rate in this case.
