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Egyptian Journal of Neurosurgery
Fig. 1 | Egyptian Journal of Neurosurgery

Fig. 1

From: Ability of diagnostic injection to predict surgical outcomes in patients with chronic low back pain and lumbar radiculopathy

Fig. 1

Lumbosacral spine Imaging studies and diagnostic injections of 44-year-old female patient complaining of severe left sciatica since 5 months with chronic low back pain. LSS X-ray [Dynamic standing flexion and extension (a) and (b)] showing normal alignment of the lumbar spine with no signs of instability. Diagnostic injections [lateral (c) and AP (d) views]: Positive L4-5 provocative discography showing type 3 discogram by Adams classification and positive selective left L5 nerve root block. MRI LSS [Sagittal T1 (e), sagittal T2 (f), L4-5 axial T1 (g), L4-5 axial T2 (h)] showing L4-L5 moderate diffuse disk bulge with broad-based central disk herniation indenting the ventral aspect of thecal sac, encroaching upon the neural foramina bilaterally. Intraoperative lateral LSS X-ray showing L4-5 PLIF (i)

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