Lumbar discography in normal subjects. A controlled, prospective study
- PMID:2384508
Lumbar discography in normal subjects. A controlled, prospective study
Abstract
Major advances in the techniques of discography since 1968, in conjunction with major strides in the evaluation of pain in recent years, prompted a study in which Holt's work on the specificity of discography was replicated and extended. For the present study, seven patients who had low-back pain and ten volunteers who had been carefully screened, with a questionnaire and a physical examination, to ensure that they had no history of problems with the back, had an injection at three levels, and all sessions were videotaped. After each injection, the participant was interviewed about the pattern and intensity of the pain, and then the discs were imaged with computed tomography. Five raters, who were blind to the condition of the participant, graded each disc as normal or abnormal on the basis of findings on magnetic resonance images that had been made before the injection and computed tomography (discography) were done. There was only one disagreement between the ratings that were made on the basis of the magnetic resonance images and those that were made on the basis of the discograms. Each participant's pain-related response was evaluated independently by two raters who viewed the videotapes of the discography. Inter-rater reliability was 0.99, 0.93, and 0.88 for the evaluation of intensity of the pain, pain-related behavior, and similarity of the pain to pain that the subject had had before the injection. In the asymptomatic individuals, the discogram was interpreted as abnormal for 17 per cent (five) of the thirty discs and for five of the ten subjects.(ABSTRACT TRUNCATED AT 250 WORDS)
Similar articles
- Comparison of discographic findings in asymptomatic subject discs and the negative discs of chronic LBP patients: can discography distinguish asymptomatic discs among morphologically abnormal discs?Derby R, Kim BJ, Lee SH, Chen Y, Seo KS, Aprill C.Derby R, et al.Spine J. 2005 Jul-Aug;5(4):389-94. doi: 10.1016/j.spinee.2005.01.007.Spine J. 2005.PMID:15996608
- Provocative discography in patients after limited lumbar discectomy: A controlled, randomized study of pain response in symptomatic and asymptomatic subjects.Carragee EJ, Chen Y, Tanner CM, Truong T, Lau E, Brito JL.Carragee EJ, et al.Spine (Phila Pa 1976). 2000 Dec 1;25(23):3065-71. doi: 10.1097/00007632-200012010-00014.Spine (Phila Pa 1976). 2000.PMID:11145818Clinical Trial.
- Low-pressure positive Discography in subjects asymptomatic of significant low back pain illness.Carragee EJ, Alamin TF, Carragee JM.Carragee EJ, et al.Spine (Phila Pa 1976). 2006 Mar 1;31(5):505-9. doi: 10.1097/01.brs.0000201242.85984.76.Spine (Phila Pa 1976). 2006.PMID:16508542
- A reassessment of Holt's data on: "The question of lumbar discography".Simmons JW, Aprill CN, Dwyer AP, Brodsky AE.Simmons JW, et al.Clin Orthop Relat Res. 1988 Dec;(237):120-4.Clin Orthop Relat Res. 1988.PMID:2973381Review.
- Lumbar discography. Position statement from the North American Spine Society Diagnostic and Therapeutic Committee.Guyer RD, Ohnmeiss DD.Guyer RD, et al.Spine (Phila Pa 1976). 1995 Sep 15;20(18):2048-59.Spine (Phila Pa 1976). 1995.PMID:8578384Review.
Cited by
- Peripheral disc margin shape and internal disc derangement: imaging correlation in significantly painful discs identified at provocation lumbar discography.Bartynski WS, Rothfus WE.Bartynski WS, et al.Interv Neuroradiol. 2012 Jun;18(2):227-41. doi: 10.1177/159101991201800217. Epub 2012 Jun 4.Interv Neuroradiol. 2012.PMID:22681741Free PMC article.
- Pain improvement after intradiskal lidocaine administration in provocation lumbar diskography: association with diskographic contrast leakage.Bartynski WS, Rothfus WE.Bartynski WS, et al.AJNR Am J Neuroradiol. 2007 Aug;28(7):1259-65. doi: 10.3174/ajnr.A0559.AJNR Am J Neuroradiol. 2007.PMID:17698525Free PMC article.Clinical Trial.
- Diagnostic discography: what is the clinical utility?Provenzano DA.Provenzano DA.Curr Pain Headache Rep. 2012 Feb;16(1):26-34. doi: 10.1007/s11916-011-0239-6.Curr Pain Headache Rep. 2012.PMID:22147277Review.
- Systematic review of tests to identify the disc, SIJ or facet joint as the source of low back pain.Hancock MJ, Maher CG, Latimer J, Spindler MF, McAuley JH, Laslett M, Bogduk N.Hancock MJ, et al.Eur Spine J. 2007 Oct;16(10):1539-50. doi: 10.1007/s00586-007-0391-1. Epub 2007 Jun 14.Eur Spine J. 2007.PMID:17566796Free PMC article.
- [Degenerative disorders of the lumbar spine Total disc replacement as an alternative to lumbar fusion?].Mayer HM.Mayer HM.Orthopade. 2005 Oct;34(10):1007-14, 1016-20. doi: 10.1007/s00132-005-0836-3.Orthopade. 2005.PMID:16034627Review.German.
Publication types
MeSH terms
Substances
Related information
Grants and funding
LinkOut - more resources
Full Text Sources