The patient’s pain was improved by sciatic nerve decompression through a transgluteal approach. Transgluteal decompression of the sciatic nerve completely eliminated chronic disability associated with right buttock and sole pain. A pelvic magnetic resonance imaging (MRI) used to evaluate the failed back surgery syndrome revealed a type II variation between the sciatic nerve and piriformis muscle. His pain did not improve after decompression and fusion surgery for severe lumbar stenosis. A 72-year-old male presented with a 2-year history of severe buttock and sole pain in his right lower extremity. If significant asymptomatic lumbar stenosis in the lower lumbar spine is found in patients with buttock pain and sciatica, caused by sciatic nerve entrapment, it is possible that needless spinal surgery may have been recommended. Sciatic nerve entrapment, which is a cause of non-discogenic extraspinal sciatica is characterized by buttock pain and sitting intolerance.
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