-
O
Age between 18 and 65 years
-
o
Pain (minimal VAS 5 Mean) for at least three months
-
o
Pain nonresponsive to conservative treatment
-
o
At least 50% disc height remaining on MRI or CT scan
-
o
Positive result of provocative discography according to the SIS Guidelines.
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-
o
Modic Changes
-
o
Pregnancy
-
o
Anticoagulants
-
o
Systemic infections at injection site
-
o
Contrast allergy
-
o
Psychiatric disorder according to DSM 4 (screening with 4DKL questionnaire)
-
o
Solid bony fusion resulting in inaccessible disc
-
o
Severe spinal stenosis at corresponding disc level
-
o
Bulging disc >5 mm, extrusions, or isolated fragments in the spinal canal
-
o
Spondylolisthesis grade 2 or more
-
o
Radicular/sciatic pain
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