What question did this study set out to answer?

To review the clinical indications, technical performance, and safety profile of lumbar discography while addressing ongoing criticisms of the diagnostic procedure.

September 1, 1995Spine

Lumbar Discography

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Authors

RGRichard D. GuyerColorado Joint Replacement DODonna D. OhnmeissTexas Back Institute

Discussion

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Implication

Literature review demonstrates the diagnostic value and safety of lumbar discography in chronic back pain, indicating its utility when noninvasive imaging is inconclusive.

Key Points

To review the clinical indications, technical performance, and safety profile of lumbar discography while addressing ongoing criticisms of the diagnostic procedure.
Comprehensive literature review summarizing published studies on the diagnostic value, safety, and methodology of lumbar discography.
Recent literature supports lumbar discography in select patients, with historically high complication rates decreasing significantly since 1970 due to advances in injection technique, fluoroscopy, and contrast agents.
Primary indications include evaluating persistent pain when noninvasive imaging is inconclusive, assessing disc integrity prior to spinal fusion, differentiating recurrent herniation from scar tissue, and confirming contained herniation before minimally invasive discectomy.
Safe and accurate execution requires sterile double-needle techniques under fluoroscopic guidance to record injection volume, dye dispersion patterns, and concordant pain reproduction, often complemented by axial computed tomography.

Cite This Study

Guyer et al. (1995) studied this question.

synapsesocial.com/papers/6a9ece3b4b3b77eba18c4e8a https://doi.org/10.1097/00007632-199509150-00020

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Implication

Literature review demonstrates the diagnostic value and safety of lumbar discography in chronic back pain, indicating its utility when noninvasive imaging is inconclusive.

Lumbar Discography

Discussion

Member takes

Implication

Key Points

Cite This Study

Lumbar Discography

Discussion

Member takes

Implication

Key Points

Cite This Study

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