The patient came to the clinic 08-February-2003 complaining of severe LBP with left sciatica for 3 months. She is hypertensive and diabetic under treatment. MRI lumbar spine done recently showing lumbar canal stenosis with extruded disc L4-5, more to the left. ( She is the mother of Dr. Hussein Al-Abbadi).

On examination: the patient is limping with exaggerated scoliotic stance with agonizing sciatica. SLRS was 35 degrees with pain in the left. She has almost drop left foot and weak dorsiflexion right foot 4/5. There is hypalgesia left L5 and S1 territories.

Decompressive laminectomy of L4-5 with foraminotomy both L5 roots. The extruded disc were removed lateral to the axilla and left sided intradiscal cleaning of L4-5 was performed. Right sided intradiscal cleaning was also achieved. The patient was put in Reverse Trendelenburg position with Valsalva maneuver and hyperventilation. No CSF leak. Routine closure of the wound

The patient came to the clinic 30-March-2003 with clean wound and full power of the feet and no sensory deficit. She is telling that the last 3 days she has neck , LBP and right hip pain. SLRS was 80 degrees without pain in the left. There is numbness all toes left foot.

The patient then came to the clinic 16-August-2003 telling that she got numbness of the right foot the last three months, but neurologically she was free.

The patient still has an estimated postoperative recurrence less than 7%, because the disc space is shallow, but still not complete .