The patient has left foot drop and severe left sciatica and altered gait for 20 days. MRI lumbar spine show huge extruded disc fragment at L4-L5 level and up migrating till L3-L4 disc level compressing the left traversing and exiting nerve roots.
The patient was operated with full endoscopic interlaminar approach using 5.7/8.4/15 degree stenoscope and high cranial laminotomy, flavectomy, foraminotomy and discectomy was done under spinal anesthesia. This is unedited video of the surgery. The patient improved in left sciatica, paresthesia and power in left TA improved to 1 and left EHL improved to 2 in immediate post-operative period. Physiotherapy with TENS, is being continued for further neurological improvement.
