Abstract
In the past seven years there has been rapid progress in knowledge concerning intractable low back and sciatic pain due to intraspinal pressure on the nerve roots. The lesions are intraspinal protusion of the intervertebral disk, thickening of the ligamentum flavum, or both. Whereas the scientific aspects of these cases have been adequately reviewed elsewhere, 1 this paper is being presented to emphasize the features of the management of such operable intraspinal lesions which have to do with workmen's compensation. For best results, cooperation between the insurance carrier and the responsible surgeon is essential. However, many managers of insurance companies have had the impression, based perhaps on unfortunate experiences with osteoplastic and other spinal operations, that any spinal operation is rarely successful in a compensation case. It is natural that these men, in all sincerity, have urged injured workmen to avoid any spinal operation whatsoever. It is hoped that this
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