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A lumbar score of 12 was recorded pre-operatively on the Japanese Orthopaedic Association (JOA) scale. Comprehensive imaging including whole spinal radiographs, MRI, and CT scans, confirmed complete lumbarization (Castellvi-I and calcified disc herniations at L5-S1 and LSTD levels on the left side. PEID at two index levels facilitated decompression, using the left approach. The patient's neurological function demonstrated an encouraging and quick restoration. Upon recovering from his s
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