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EXHIBIT ID: SP_A_1038

L3-4 Microdiscectomy Procedure

Left sided disc herniation compressing the left L4 nerve root. Drill removes the lower portions of the left L3 lamina. Left L4 nerve root medially retracted. Disc herniation is exposed.

lumbar burr vertebral intervertebral l1 l2 l3 l4 l5 Intervertebral discs Facets Laminae Spinous process Spinal cord Cauda equina Exiting nerve roots herniation laminotomy