Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
6 Suppl
pubmed:dateCreated
1991-8-30
pubmed:abstractText
This study was undertaken to determine the correlation between awake discography findings and magnetic resonance imaging in the evaluation of symptomatic lumbar disc disease. The study included 164 consecutive patients who underwent evaluation with discography and magnetic resonance imaging for lumbar disc disease from August 1987 to September 1989. Chronic low-back pain, with or without radicular symptoms, was the presenting complaint in each case. Each patient had previously failed conservative treatment. The average age was 36 (range, 19-66 years). Magnetic resonance images were performed before discography in each case. Discography was performed with patients minimally sedated and under local anesthesia. A lateral approach was used. Magnetic resonance imaging and discography correlated in 90 cases (55%) and differed in 74 (45%). Considering disc levels, discography and magnetic resonance imaging correlated in 371 discs (80%). There were 172 normal discs and 199 abnormal discs. Of the abnormal discs, 151 (76%) reproduced symptoms. In 60 discs (13%), magnetic resonance images showed abnormal findings and the discogram normal findings. Discs levels classified as abnormal on magnetic resonance imaging demonstrated that 108 discs (37%) were asymptomatic. Magnetic resonance imaging showed normal findings and the discogram abnormal findings in 34 discs (7%), of which 21 (5%) recreated exact symptoms and 13 (2%) caused no pain. Magnetic resonance imaging is a static test and discography the only available dynamic test for disc evaluation. Awake discography is a diagnostic study that can determine which abnormal discs are symptomatic via the pain response.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Jun
pubmed:issn
0362-2436
pubmed:author
pubmed:issnType
Print
pubmed:volume
16
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
S216-21
pubmed:dateRevised
2011-11-17
pubmed:meshHeading
pubmed:year
1991
pubmed:articleTitle
Awake discography. A comparison study with magnetic resonance imaging.
pubmed:affiliation
Alamo Bone & Joint Clinic, San Antonio, Texas.
pubmed:publicationType
Journal Article, Comparative Study