This graphic includes eight medical illustrations demonstrating the process of discectomies and lumbar spinal fusions at L4-S1.  The primary image demonstrates pre-surgical disc injuries at L4-5 and L5-S1. Illustration 1 demonstrates incision and exposure in the low back.  Illustration 2 demonstrates facetectomies at L4-5 and L5-S1. Illustration 3 demonstrates laminectomies at L4-5 and L5-S1. Illustration 4 demonstrates placement of pedicle screws.  Illustration 5 demonstrates removal of disc material at L4-5 and L5-S1. Illustration 6 demonstrates the placement of cages into the interbody spaces. Illustration 7 demonstrates the placement of rods locked to pedicle screws in L4-S1.

This graphic is best used for demand letters / narrative reports, mediation, arbitration or trial in cases involving discectomies and fusion of L4-S1 after trauma.

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