1.Orthopedic and Spinal Surgery Department,Kingdom Hospital,Riyadh,Saudi Arabia;2.Orthopedic Spinal Surgery Unit 1,Bordeaux Pellegrin Hospital,Bordeaux,France
The patient underwent a left anterior retroperitoneal approach with assistance from a vascular surgeon given the very close relation between the osteophyte and the left common iliac vein, lying just on top of it, osteophyte was removed in one piece with the use of an osteotome after retraction of the vessels. The patient progressively recovered from her left sciatic pain with a satisfactory clinical result at 1 year.
Conclusion
Literature is sparse on the treatment of extraforaminal entrapment of the L5 nerve root; the current case shows a successful treatment strategy with the use of an anterior approach for direct vision of the lesion and good control of the vessels.
