Presented by:  Dr. Robert Griebel, Neurosurgeon, Saskatoon

Age:  40

Sex:  Male

History: 

• Sept 23/99 - Work related injury.  Severe LBP with radiculopathy unresponsive to physio or NSAIDs.

• Jan 5/00 - CT scan L4/5 disc bulge.  Conservative Rx continued as did pain.

• Mar 7/00 - MRI- L4/5 disc bulge with associated small canal.

• May 00 - Severe exacerbation of pain - unable to stand or walk.   Pain now in both legs.  MRI repeated but no substantive change.

• June 14/00 - Surgical procedure - Hemilaminectomy and excision of disc material.  Pain recurred after several days post-op. 

• June 22/00 - Repeat exploration of nerve root.  Little of note.  Biopseid tissue grew a colony of pepotostreptococcus.  Pt given 6 week course of clindamycin.  No change in condition.  

Recent MRI's