Fig. 1

Rt L3-4 FLLDH. Male patient 43 y old presented with Rt femoralgia and weakness of the quadriceps muscle. a and b preoperative MRI LSS axial and sagittal views showed L3-4 Rt foraminal and far lateral LDP compressing Rt L3 root. c and d postoperative X Ray LSS. surgical treatment was done with L3-4 laminectomy and Rt L3-4 full facetectomy, discectomy and removal of the extruded fragment, and L3-4 fixation with transpedicular screws. Marked improvement of pain and weakness was observed immediately postoperatively (Excellent outcome)