Table 1.
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