A 17-year-old male hurdler presents with burning pain and paresthesias in bilateral legs. He reports symptoms predictably after 10 minutes of running and training. The pain is localized over the dorsum of the foot and anterior leg. He denies any associated back pain. On exam, there is no apparent motor weakness and peripheral pulses are 2+ and symmetric with ankle plantar flexion and dorsiflexion. The patient undergoes surgical treatment of this condition. Which of the following would place the patient at risk for recurrence?