Clinical case

L5S1 disc herniation after laminectomy

The patient has a herniated L5S1 disc at the exit of the nerve root, which causes severe pain in the leg, even causing immobilization in the foot.

Preoperative

On this occasion, Dr. Elgeadi's team addresses the case of a patient who has developed a lumbar hernia at the level of the 4th and 5th vertebra which causes canal stenosis, closing the canal and compressing the nerves.

The patient comes to the clinic with a previous laminectomy at L5S1.

The main symptoms due to this canal stenosis are affected by a compressive syndrome that radiates to the leg, even causing paralysis in the foot.

Operation

After performing the necessary x-rays and tests to see exactly where the hernia is located, we are now sure of the level at which the hernia is located, so the doctor proceeds to begin advanced spine surgery.

In order to access the hernia, the anterior lamina is slightly filed, so that an access window is created that will not cause any type of pain or discomfort after the operation thanks to its minimum size, approximately 4mm.

Postoperative

After removing the adhesions within the window created, the herniated disc, which has a pearly white color, is identified and removed.