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Lumbar diskography (LD) is frequently used in the evaluation of patients with degenerative disk disease and diskogenic low back pain. Its safety and diagnostic accuracy are a topic of debate. No study has evaluated the efficacy of LD within the clinically distinct workers' compensation population.
View Article and Find Full Text PDFLumbar Intradiskal Platelet-Rich Plasma (PRP) Injections: A Prospective, Double-Blind, Randomized Controlled Study.
PM R
January 2016
Physiatry Department, Hospital for Special Surgery, New York, NY; and Department of Rehabilitation Medicine, Weill Cornell Medical College, New York, NY(††). Electronic address:
Objective: To determine whether single injections of autologous platelet-rich plasma (PRP) into symptomatic degenerative intervertebral disks will improve participant-reported pain and function.
Design: Prospective, double-blind, randomized controlled study.
Setting: Outpatient physiatric spine practice.
Ralph Bingham Cloward (1908-2000): Spine Polymath.
World Neurosurg
May 2016
Department of Neurosurgery, LSU Health-Shreveport, Shreveport, Louisiana, USA. Electronic address:
Dr. Ralph Bingham Cloward, an American neurosurgeon, revolutionized the field of modern spine surgery with his lifelong innovative and pioneering contribution. He described the posterior lumbar interbody fusion and anterior cervical discectomy and fusion.
View Article and Find Full Text PDFDiagnostic and therapeutic spinal interventions: Diskography.
Neurol Clin Pract
August 2014
Departments of Radiology (TPM) and Neurology (JDB), Mayo Clinic, Rochester, MN.
Diskography (provocation diskography, disk stimulation) is an invasive diagnostic test performed to confirm or exclude internal disk disruption as the cause of axial spine pain. Diskography involves injecting fluid into the nucleus of the disk under manometric control; a positive response is reproduction of typical pain. Extensive but indirect literature validates diskography in the lumbar spine; it is less well-supported in the cervical or thoracic spine.
View Article and Find Full Text PDFIntradiskal methylene blue treatment for diskogenic low back pain.
PM R
November 2014
APM Spine and Sports Physicians, Virginia Beach, VA(‡).
Background: Low back pain is a leading cause of pain and disability. The intervertebral disk has been identified as the most common source of chronic low back pain. Although prior treatments directed at intervertebral disks have been disappointing, recent studies show promising improvement of pain and function after a single intradiskal injection of methylene blue.
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