case_images: PMC11823875_01
case_images: Magnetic resonance imaging sagittal and axial cut showing massive L5S1 disc herniation with inferior migration.
case_images: JOCR-15-95-g001.jpg
case_images: PMC11823875_01_JOCR-15-95-g001.jpg
case_images: F1
case_images: S1 traversing nerve roots and significant canal stenosis (Fig. 1). Sequestered disc at S1 level, causing complete canal stenosis.
case_images: Large sequestered fragment removed from L5-S1 level.
case_images: JOCR-15-95-g002.jpg
case_images: PMC11823875_01_JOCR-15-95-g002.jpg
case_images: F2
case_images: Complete wide L5 laminectomy and L5S1 discectomy were done with the removal of sequestered fragments (Fig. 2).
case_images: PMC11823875_02
case_images: Magnetic resonance imaging axial and sagittal images showing complete canal occlusion at L45 level.
case_images: JOCR-15-95-g003.jpg
case_images: PMC11823875_02_JOCR-15-95-g003.jpg
case_images: F3
case_images: MRI was suggestive of diffuse disc bulge at L4-5 level with ligamentum flavum hypertrophy with near complete canal occlusion (Fig. 3).
case_images: Post-operative X-rays showing laminectomy defect.
case_images: JOCR-15-95-g004.jpg
case_images: PMC11823875_02_JOCR-15-95-g004.jpg
case_images: F4
case_images: We went ahead with L45 laminectomy, flavectomy, and discectomy (Fig. 4).
case_images: PMC11823875_03
case_images: Magnetic resonance imaging axial and sagittal images showing large posterolateral soft disc herniation at L5S1 level with inferior migration.
case_images: JOCR-15-95-g005.jpg
case_images: PMC11823875_03_JOCR-15-95-g005.jpg
case_images: F5
case_images: MRI lumbosacral spine which was suggestive of large L5S1 disc herniation with posterior right paracentral extrusion and inferior migration causing severe indentation of thecal sac with compression of traversing nerve roots in right lateral recess at L5 and S1 level (Fig. 5).
case_images: Intraoperative clinical image showing decompression and piecemeal removal of herniated disc at L5S1 level.
case_images: JOCR-15-95-g006.jpg
case_images: PMC11823875_03_JOCR-15-95-g006.jpg
case_images: F6
case_images: Patient was operated within 2 days of admission with wide laminectomy and discectomy at L5S1 (Fig. 6 and 7).
case_images: Post-operative X-ray images showing laminectomy L5-S1 level.
case_images: JOCR-15-95-g007.jpg
case_images: PMC11823875_03_JOCR-15-95-g007.jpg
case_images: F7
case_images: Patient was operated within 2 days of admission with wide laminectomy and discectomy at L5S1 (Fig. 6 and 7).