Degenerasi hnp

Degenerative disk protrusion in a 48-year-old woman with

low back pain, a positive diskogram, and a concordant pain response
at the L5-S1 disk level.(a)Diskogram shows a normal appearance at
the L3-4 intervertebral space. The abnormal L4-5 intervertebral space
shows focal extension of the diskographic dye (arrow) into the ventral
epidural space and the abnormal-appearing L5-S1 disk, the site of
concordant pain, although no posterior extension of dye is seen
there. (b) Postdiskographic CT scan at the L4-5 interspace clearly
depicts the posterior extension of the diskographic dye (arrow) into
the ventral epidural space through the annular defect. Despite this
appearance, no pain was elicited at the L4-5 intervertebral space level.