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indications contraindications


Patient selection is crucial for treatment effectiveness. The indications are : contained disk herniations determined by CT scan or MR imaging with positive and consistent neurologic findings (leg pain of greater intensity than back pain, positive straight-leg-raising test, decreased sensation, normal motor response and tendon reflex ) with failure of 6 weeks of conservative therapy


The contraindications are nerve paralysis, hemorrhagic diathesis, spondylolisthesis, spinal stenosis, previous surgery at the same level, significant psychological disorders, significant narrowing of disk space, workplace injuries with monetary gain, local infection of cutaneous or subcutaneous or muscular layers.