Fig. 2

Rt L4-5 foraminal and FLLDH. Male patient 38 y old presented with severe Rt sciatica. a and b preoperative MRI LSS sagittal and axial views showed L4-5 Rt foraminal and far lateral LDP compressing Rt L4 root. c preoperative Dynamic X Ray LSS, stable. d Postoperative X Ray LSS; surgical treatment was done with L4-5 laminectomy and Rt L4-5 full facetectomy, discectomy and removal of the extruded fragment, and L4-5 fixation with transpedicular screws. Marked improvement of pain was observed immediately postoperatively (Excellent outcome)