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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 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 PDFDoes a fibronectin and aggrecan complex play a role in painful vertebral disks?
PM R
April 2013
Department of Orthopaedic Surgery, NYU Hospital for Joint Diseases, New York, NY, USA.
Objective: To determine the presence of a fibronectin-aggrecan complex (FAC) in the disk space of persons with chronic low back pain as relates to provocative diskography.
Design: A single-center prospective consecutive case series.
Setting: A single private practice setting.
Diskography in the evaluation of low back pain.
J Am Acad Orthop Surg
January 2006
Department of Orthopaedic Surgery, Baylor College of Medicine, Houston, TX, USA.
Diskography is evolving to play a crucial role in the evaluation of axial low back pain, especially in regard to surgical decision making. Despite advances in other forms of imaging, diskography remains unique in that it is the only test that seeks to provoke a pain response during the study. It has been suggested that patients with axial low back pain who experience a concordant pain response during diskography are more likely to respond favorably to surgical intervention.
View Article and Find Full Text PDFDoes the number of levels affect lumbar fusion outcome?
Spine (Phila Pa 1976)
March 2005
Center for Spinal Deformity and Injury, Los Gatos, CA, USA.
Study Design: Retrospective outcome measurement after circumferential reconstructive surgery with lumbar fusion in patients with chronic discogenic low back pain.
Objective: To examine the effect of the number of fusion levels on surgical outcomes in patients with chronic discogenic low back pain using provocative pressure-controlled diskography as a primary diagnostic tool.
Summary Of Background Data: Although there is general agreement that construct length adversely affects arthrodesis success rates, the effect of the number of levels on lumbar fusion surgery outcome has not been reported.
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