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The patient has diagnostic low back pain as well as bilateral S1 radiculopathy consistent with his imaging studies showing L5-S1 spondylosis. His symptoms improved significantly with targeted L5-S1 TF ESIs (most recent was (8/04/2020), but the injections provide only temporary relief and patient feels like his functional status has continued to decline. Diagnosis: L5-S1 Spondylosis with Annular Tear Operation: Right L5-S1 Minimally Invasive Laminotomy, Discectomy (Laser Endoscopic Spine Surgery) Learn about LESS and other State-of-the-Art Minimally Invasive Spine Surgery at www.excelspine.com Contact us at https://excelspine.com/contact/ or (619) 344-6918 Follow me on social media: https://linktr.ee/drchollkim Subscribe to my weekly emails: http://eepurl.com/hsKXO5 Medical Disclaimer The information in this video is not intended to serve as professional medical advice, diagnosis, or treatment. To address your specific medical concerns, we strongly recommend that you consult with your healthcare provider. The surgical procedures shown in this video are performed by a qualified spine surgeon and may not be appropriate for all individuals.