It was reported that on: (b)(6) 2011: the patient was pre-operatively diagnosed with : l3-l4 and l4-l5 severe spondylosis with refractory axial and radicular back pain.Lumbar 3-5 spondylosis and foraminal stenosis with compression of the nerve root and underwent the following procedures: l3-l4 and l4-l5 direct lateral extra cavity discectomy and interbody fusion using peek, rhbmp-2/acs and putty (rattlesnake-eminent spine).Bilateral l3,l4 and l5 posterior spinal fusion using pedicle screws and rods.Laminectomy, lumbar, anterior/c ssep.As per the operative notes: ¿ an 8 x 22 mm peek interbody spacer was malleted into the l3-l4 disk space.In similar fashion, the l4-l5 disk space was identified and once again whatever little remnant disk material was removed in this area.A 10 mm tls cage was malleted into this l4-l5 region.The bigger dlif cage would not fit in the space.Once both implants were in proper position as confirmed by fluoroscopy, hemostasis was obtained.¿ it was reported that the patient have been disabled since a spine implant date (b)(6) 2011.
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