13-4-2011 C3-4 DH

A 60 Year -old male, 3 years with legs weakness, R arm pain. Poster longitudinal ligament was hypertrophy at mutiple levels.

6/6/2011, post- operation,

13-4-2011 POSTLATERAL DH L4-5

A 45 year- old female, 3 months with LBP and left L4 pain. MRI finding at L4-5 same to be foraminal DH, but in actually, it was lateral stenosis with hypertrophic flavum ligament and bulge disk.

11-04-11, recurrent DH, in the other side

A 38 year-old female, she had right fenestraion L4-5 in 2007, 5 days with left leg pain L5. although we had oprerated at other side, but it have also effected on the left. The scar tissue was addhesive structures. We must find the lame L4-L5 first, then step by step we decompresse the scar tussues. This case had fragment DH moving up, because L5 nerve was addhevised with ligment and epidural so it cant move down.

11-04-11, Foraminal DH

A 64 year-old female, 3 month with left L5 pain although we can see fragment in foramial compressing left L4. This case we must do up and wide above facet, we must find L4 nerve then we use

8-04-11, UNSTABLE L4-5, WITH0UT PLF

5-2-2011, DH L4-5, WITHOUT COMPRESSION L4,L5

A 44 year-old male, he had left L5 pain for 1 week, but only numbness and little pain before operation. MRI show big fragment of DH, actually I did not see compression L4 or L5, this fragment have been located betweenL4 and L5 nerve. That symptom may be caused by inflamation.

2-4-2011, L4-5, DH at neck nerv L5

A 32 year-old femal, 3 days with right L5 pain. She can not sleep 2 nights. She has visited 2 doctors who where requested for LIP fusion surgery. In my opinion, I think we dont need to do it, we can see a small disk prolape at right side L4-5, It was a fact that I saw a pragment disk at neck location of L5. The bilateral facet was hypertrophic stenosis on MRI, but I only did fenestration at right side. She have not pain after operation.