We have located links that may give you full text access.
JOURNAL ARTICLE
RESEARCH SUPPORT, NON-U.S. GOV'T
Discography of lumbar discs after surgical treatment for disc herniation.
Spine 1997 July 16
STUDY DESIGN: Eighty-three patients were identified who had discography performed at a disc level that had been subject to previous laminectomy and partial discectomy, and who had also undergone discography at one or more additional levels. The results of these studies were retrospectively reviewed.
OBJECTIVE: To define the results of discography performed on previously operated discs.
SUMMARY OF BACKGROUND DATA: It is not uncommon for the physician to encounter patients with complaints of persistent chronic back pain after surgical treatment of a lumbar disc herniation. Although such patients are frequently studied by discography, there is very little scientific literature to document the expected results.
METHODS: A retrospective study of the results of discography on previously operated disc was performed.
RESULTS: A positive pain response was significantly more likely in the previously operated discs than in the unoperated discs (P < 0.0001). Posterior extravasation of dye was noted in 34% (35 of 102) of the postoperative discs and 21% (29 of 136) of the unoperated discs. Positive concordant pain provocation was noted in 48 (75%) of the 64 discs showing posterior dye extravasation; 28 were postoperative discs and 20 were unoperated discs.
CONCLUSIONS: Patients presenting with disabling back pain who had previously undergone surgical treatment for a herniated nucleus pulposus show a high (72%) incidence of concordant pain with discography of the previously operated level. Only 34% of the previously operated discs demonstrated posterior extravasation of discography dye. Persistence of a posterior anular defect was associated with a higher incidence of positive concordant pain response.
OBJECTIVE: To define the results of discography performed on previously operated discs.
SUMMARY OF BACKGROUND DATA: It is not uncommon for the physician to encounter patients with complaints of persistent chronic back pain after surgical treatment of a lumbar disc herniation. Although such patients are frequently studied by discography, there is very little scientific literature to document the expected results.
METHODS: A retrospective study of the results of discography on previously operated disc was performed.
RESULTS: A positive pain response was significantly more likely in the previously operated discs than in the unoperated discs (P < 0.0001). Posterior extravasation of dye was noted in 34% (35 of 102) of the postoperative discs and 21% (29 of 136) of the unoperated discs. Positive concordant pain provocation was noted in 48 (75%) of the 64 discs showing posterior dye extravasation; 28 were postoperative discs and 20 were unoperated discs.
CONCLUSIONS: Patients presenting with disabling back pain who had previously undergone surgical treatment for a herniated nucleus pulposus show a high (72%) incidence of concordant pain with discography of the previously operated level. Only 34% of the previously operated discs demonstrated posterior extravasation of discography dye. Persistence of a posterior anular defect was associated with a higher incidence of positive concordant pain response.
Full text links
Trending Papers
A Personalized Approach to the Management of Congestion in Acute Heart Failure.Heart International 2023
Potential Mechanisms of the Protective Effects of the Cardiometabolic Drugs Type-2 Sodium-Glucose Transporter Inhibitors and Glucagon-like Peptide-1 Receptor Agonists in Heart Failure.International Journal of Molecular Sciences 2024 Februrary 21
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app
All material on this website is protected by copyright, Copyright © 1994-2024 by WebMD LLC.
This website also contains material copyrighted by 3rd parties.
By using this service, you agree to our terms of use and privacy policy.
Your Privacy Choices
You can now claim free CME credits for this literature searchClaim now
Get seemless 1-tap access through your institution/university
For the best experience, use the Read mobile app