concordant clinical signs to CT; MRI positive SLRT, axial pain, coughing,sensory signs | progressive neurological deficits |
VAS >5 leg and back pain | extruded, sequestrated herniation (MRI-direct neuraldecompression) |
symptomatic contained disc herniation | severe stenosis |
discogenic back pain | severe degeneative disc disease with end stage collapse >50% |
herniation by posterior ligament not greater than 1/3 the sagital diameter ofthe spinal channel | activated osteochondritis, fracture, tumor, discitis |
6 weeks failed conservative treatment | cauda equina syndrom |
no leakage of contrast/dye into the spinal channel during discography | fixed motor deficit |
slight neurological deficits | oversegmental instability - spondylolisthesis |