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. 2005 Oct 18;15(5):570–574. doi: 10.1007/s00586-005-0971-x

Table 1.

Pre-operative and postoperative evaluation of all patients

  Age, sex Pre-operative evaluation Imaging findings Operation Early postoperative evaluation Late postoperative evaluation
Symptoms Neurologic exam Symptoms Neurologic exam Symptoms Neurologic exam
1 45, F LBP for 1 year and right leg pain for 3 weeks Right Lasegue (+) at 60–70°
Left contralasegue (+) at 80–90°, Paresthesia–hypoesthesia of right foot. Scoliosis (tilt toward right side), marked muscle spasm on the left side.
CT: L5-S1 posterior central and left paracentral disk herniation
EMG: Right S1 radicular involvement
Left L5 partial laminectomy; diskectomy from left No symptoms Normal After 3 years
No symptoms at routine life. Mild right leg pain after intense physical activity. Right L5 paresthesia
2 35, F LBP for 7 years and left leg pain for 2 years Left Lasegue (+) at 70° CT: L4–5 posterior central and right paracentral disk herniation Right L4 lower partial laminectomy; diskectomy from right No symptoms Normal After 3 years
No symptoms Normal
3 40, F LBP for 11 months and bilateral leg pain. Right > Left for 10 months Normal MRI: L4–5 posterior central and left paracentral disk herniation Left L4 partial laminectomy; diskectomy from left No symptoms Normal After 2.5 years
No symptoms Normal
4 42, M Left leg pain for the last 5 years, which subsided after rehabilitation. Sudden onset of intolerable—intractable right leg pain—in spite of the narcotic medication—1 week ago Right Lasegue (+) at 20°, Left Lasegue (+) at 40°, Contralasegue (+) bilaterally, unable to walk because of the pain MRI: L4–5 posterior central and left paracentral disk herniation Left L4 partial laminectomy; diskectomy from left Pain subsided, walks normally Normal After 2 years
No symptoms Normal
5 34, M LBP and right leg pain 6 years prior, which subsided in a few months. Sudden onset of LBP and right leg pain 4 weeks ago after exercise Absent right Achille reflex
Lasegue bilateral (+) at 60°
Hypoethesia in Right L5 dermatomal distribution
MRI: L4–5 posterior central and left paracentral disk herniation Left L4 and L5 partial laminectomy; diskectomy from left No symptoms Absent Achille reflex After 1 year
No symptoms Absent Achille reflex

LBP, low back pain; EMG, electromyography; MRI, magnetic resonance imaging; CT, computed tomography