Fig. 4

L4-5 Lt FLLDH. Female patient 38 y old presented with severe Lt sciatica. preoperative dynamic X Ray LSS (a), and preoperative MRI LSS sagittal and axial views T2 (b) showed L4-5 Lt far lateral LDP compressing Lt L4 root. surgical treatment was done with Lt L4 hemilaminectomy and Lt L4-5 facetectomy, discectomy and removal of the extruded fragment, insertion of L4-5 cage and L4-5 fixation with transpedicular screws. postoperatively, the sciatica was completely recovered with excellent outcome. postoperative X Ray LSS A-P and lateral views (c), Postoperative CT LSS (d), Postoperative MRI LSS (e) showed L4-5 Lt hemilaminectomy, Lt facetectomy, L4-5 cage and L4-5 fixation with transpedicular screws and good decompression of the Lt L4 root