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Abstract:
Low back pain and lumbo-ischialgia are symptoms of degeneration of the intervertebral disc with protrusion. The possible invalidity in these patients is difficult to assess. Several factors do influence the outcome of conservative and/or neurosurgical treatment: Some patients are treated as out-patients only instead of the necessary in-patient treatment. Only in case of a paresis or disturbances of the urine bladder function, operation must be done without pretreatment. The quality of the postoperative treatment decides on the later result! The clinical assessment of a patient is not possible without examination and intensive questions about the circumstances of daily life, holiday activities, hobbies and so on. Discrepancies between the result of examination and the answers to these questions give a signal to a very critical evaluation of this patient.