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Review Question - QID 217003

Lumbar Disc Herniation Techniques Far lateral microdiskectomy  QID: 217003 (OBQ04.167.1)
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QID 217003 (Type "217003" in App Search)
A 54-year-old male presents to clinic for follow-up of right lower extremity radicular pain. The pain radiates from his anterior thigh to his anteromedial leg and medial ankle. He has undergone 7 months of conservative treatment without resolution. He has no limitations to walking long distances and denies any pain in his left buttock or leg. He has minimal back pain. Physical exam shows decreased strength with right ankle dorsiflexion and decreased patellar reflexes on the right. A lateral lumbar spine radiograph is demonstrated in Figure A, and a select axial MRI image at L4/L5 is demonstrated in Figure B. Flexion extension views do not demonstrate any spondylolisthesis. Operative treatment should include which of the following?
  • A
  • B
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  • A
  • B