Cervical discography: clinical implications from 12 years of experience.

Abstract:

STUDY DESIGN:Positive pain responses provoked in an inclusive series of cervical discograms performed over a 12-year period were categorized by level and reviewed. OBJECTIVES:To report the prevalence of cervical pathology over an entire series of patients, to determine whether a reproducible pattern of concordant pain could be associated with each symptomatic level identified, and to calculate the rate of complications. SUMMARY OF BACKGROUND DATA:Cloward wrote the first articles explaining the technique of cervical discography and reported on the pain responses induced. Currently, the technique is viewed as an invaluable diagnostic tool, but it also is criticized for failing to contribute unique information beyond that available from imaging studies despite the inherent risks. METHODS:A series of 173 cervical discograms performed over 12 years was examined. Pain responses provoked and recorded during discography were grouped by disc level and examined for recurring patterns. The prevalence of disc pathology was calculated. RESULTS:In all, 807 discs were injected, and 404 concordant pain responses (50%) were elicited. Three or more abnormal disc levels were identified in more than half of the patients. Complications developed in four patients (2.3%). No further complications were reported. Surgical treatment was indicated as viable in only 35 studies. CONCLUSIONS:Discography is a safe and valuable diagnostic procedure showing characteristic pain patterns that may have clinical significance. In more than half of the studies, three or more levels were identified as pain generators, suggesting that treatment decisions based on information from fewer discs injected during discography may be tenuous.

journal_name

Spine (Phila Pa 1976)

journal_title

Spine

authors

Grubb SA,Kelly CK

doi

10.1097/00007632-200006010-00010

keywords:

subject

Has Abstract

pub_date

2000-06-01 00:00:00

pages

1382-9

issue

11

eissn

0362-2436

issn

1528-1159

journal_volume

25

pub_type

杂志文章

相关文献

SPINE文献大全
  • Correlations of spinal mobility with degree of chronic low back pain after correction for age and anthropometric factors.

    abstract::Correlations of age, height, weight, lordosis, and kyphosis with noninvasive spinal mobility measurements were studied in 301 men and 175 women, aged 35-55 years, who suffered from chronic or recurrent low back pain (LBP). Correlations of the different spinal movements with the degree of LBP were analyzed, with correc...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-198706000-00008

    authors: Mellin G

    更新日期:1987-06-01 00:00:00

  • Percutaneous Endoscopic Lumbar Discectomy for L5-S1 Disc Herniation Via an Interlaminar Approach Versus a Transforaminal Approach: A Prospective Randomized Controlled Study With 2-Year Follow Up.

    abstract:STUDY DESIGN:A prospective, randomized controlled study of patients with L5-S1 lumbar disc herniations, operated with endoscopic discectomy through an interlaminar or transforaminal approach. OBJECTIVE:To compare the results of percutaneous endoscopic lumbar discectomy in L5-S1 disc herniation through an interlaminar ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000001810

    authors: Nie H,Zeng J,Song Y,Chen G,Wang X,Li Z,Jiang H,Kong Q

    更新日期:2016-10-01 00:00:00

  • Controversy. The use of selective nerve root blocks: diagnostic, therapeutic, or placebo?

    abstract::An increasing number of therapeutic spinal injections are performed each year despite little validation in randomized controlled trials. Additional injections are performed for diagnostic purposes of localizing symptomatic nerve roots, again without detailed evaluation of accuracy, specificity, or sensitivity. Drs. Sl...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199810150-00021

    authors: Slosar PJ Jr,White AH,Wetzel FT

    更新日期:1998-10-15 00:00:00

  • Biomechanical and clinical evaluation of a novel technique for surgical repair of spondylolysis in adolescents.

    abstract:STUDY DESIGN:A biomechanical comparison of a novel spondylolysis repair technique method to established spondylolysis repair constructs accompanied by a case series of 5 adolescent patients with spondylolysis treated with this technique. OBJECTIVES:To provide retrospective data on these patients treated with an intral...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.brs.0000231777.24270.2b

    authors: Ulibarri JA,Anderson PA,Escarcega T,Mann D,Noonan KJ

    更新日期:2006-08-15 00:00:00

  • Noninvasive discrimination of brachial plexus involvement in upper limb pain.

    abstract::The ability of Elvey's "brachial plexus tension test" to identify pain referred from the cervical region was investigated in 50 patients with unilateral shoulder and upper arm pain: 25 reported symptoms commencing after open heart surgery, indicating a high probability of referred pain due to that procedure; 25 were a...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199401000-00006

    authors: Selvaratnam PJ,Matyas TA,Glasgow EF

    更新日期:1994-01-01 00:00:00

  • Clinical and experimental studies on permeability of tracers in normal spinal cord and syringomyelia.

    abstract::Delayed CT Myelography (CTM) demonstrated intramedullary cavities in 18 patients, most of which appeared on the 6-hour scan. The attenuation values of the normal spinal cord increased progressively with time, and recorded a peak at 6 hours. The CT numbers of the gray matter of metrizamide were significantly high, as c...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-198807000-00005

    authors: Ikata T,Masaki K,Kashiwaguchi S

    更新日期:1988-07-01 00:00:00

  • Creep and fatigue development in the low back in static flexion.

    abstract:STUDY DESIGN:In vivo measurements of low back flexion posture and muscle activity before, during, and after static flexion. OBJECTIVE:To identify the occurrence of creep and muscle fatigue development in the low back during static upper body deep flexion that resembled an above ground work posture. SUMMARY OF BACKGRO...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3181aa6a55

    authors: Shin G,D'Souza C,Liu YH

    更新日期:2009-08-01 00:00:00

  • Chronic recurrent multifocal osteomyelitis primarily affecting the spine treated with anti-TNF therapy.

    abstract:STUDY DESIGN:A case report describing chronic recurrent multifocal osteomyelitis (CRMO) with initial presentation limited to spine, successfully treated by anti-TNF-alpha therapy after failure of conventional treatment methods. OBJECTIVE:To describe an unusual manifestation and treatment of a rare disease. SUMMARY OF...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3181c09601

    authors: Marangoni RG,Halpern AS

    更新日期:2010-04-01 00:00:00

  • Cost-effectiveness of lumbar spine radiography in primary care patients with low back pain.

    abstract:STUDY DESIGN:Fifty-two practices in the East Midlands, United Kingdom, were included. OBJECTIVES:To test the hypothesis that referral for lumbar spine radiography is cost-effective in primary care patients with low back pain of at least 6 weeks' duration compared with usual care in which referral is not routine. SUMM...

    journal_title:Spine

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1097/00007632-200210150-00021

    authors: Miller P,Kendrick D,Bentley E,Fielding K

    更新日期:2002-10-15 00:00:00

  • Impact of Living With Scoliosis: A utility Outcome Score Assessment.

    abstract:STUDY DESIGN:Survey. OBJECTIVE:The aim of this study was to objectify the burden of adolescent idiopathic scoliosis (AIS) to better advocate for scoliosis care in the future. SUMMARY OF BACKGROUND DATA:AIS is a common spinal deformity that can affect individuals on many levels. Patients with big curves usually seek m...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000001708

    authors: Aldebeyan S,Sinno H,Makhdom A,Ouellet JA,Saran N

    更新日期:2017-01-15 00:00:00

  • Biomechanical evaluation of a new total posterior-element replacement system.

    abstract:STUDY DESIGN:In vitro study to characterize the flexibility of a new total posterior-element system when instrumented to L4-L5 segments. OBJECTIVE:The goal of this in vitro study was to investigate whether an optimized version of the TOPS implant (Impliant Ltd., Ramat Poleg, Israel) is capable to restore the physiolog...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.brs.0000245872.45554.c0

    authors: Wilke HJ,Schmidt H,Werner K,Schmölz W,Drumm J

    更新日期:2006-11-15 00:00:00

  • Morphometric evaluation of the cervico-thoracic junction. Practical considerations for posterior fixation of the spine.

    abstract:STUDY DESIGN:Linear and angular measurements were performed on 128 vertebrae (16 spines) from C5 to T5. OBJECTIVES:Vertebrae were studied to characterize vertebral shape and size changes in the cervico-thoracic region. SUMMARY OF BACKGROUND DATA:Analysis of vertebral anatomy has been extensive and well characterized....

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199409150-00014

    authors: Stanescu S,Ebraheim NA,Yeasting R,Bailey AS,Jackson WT

    更新日期:1994-09-15 00:00:00

  • Acute axis fractures. Analysis of management and outcome in 340 consecutive cases.

    abstract:STUDY DESIGN:Retrospective review of acute axis fractures treated at a tertiary referral center. OBJECTIVE:To determine the optimal treatment of axis fractures based on 340 cases from a single institution. SUMMARY OF BACKGROUND DATA:Axis fractures account for almost 20% of acute cervical spine fractures. However, the...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199708150-00009

    authors: Greene KA,Dickman CA,Marciano FF,Drabier JB,Hadley MN,Sonntag VK

    更新日期:1997-08-15 00:00:00

  • Posterior spinal fusion complicated by posterior column injury. A case report of a false-negative wake-up test.

    abstract::A case is reported of an isolated posterior column injury secondary to direct mechanical trauma complicating a posterior spinal fusion. This case documents a rare complication of posterior spinal surgery. Intraoperative somatosensory-evoked potential (SEP) monitoring documented the injury whereas two intraoperative wa...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-198707000-00006

    authors: Ben-David B,Taylor PD,Haller GS

    更新日期:1987-07-01 00:00:00

  • Different arm positions and the shape of the thoracic spine can explain contradictory results in the literature about spinal loads for sitting and standing.

    abstract:STUDY DESIGN:Loads acting in vivo on a vertebral body replacement (VBR) and the shape of the back were measured. OBJECTIVE:To find an explanation for the contradictory results in literature regarding spinal loads for sitting and standing. SUMMARY OF BACKGROUND DATA:In several in vivo studies, the intradiscal pressure...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e3181d55d52

    authors: Dreischarf M,Bergmann G,Wilke HJ,Rohlmann A

    更新日期:2010-10-15 00:00:00

  • Anatomical gender differences in cervical vertebrae of size-matched volunteers.

    abstract:STUDY DESIGN:Clinical literature consistently identifies women as more susceptible to trauma-related neck pain, commonly resulting from soft tissue cervical spine injury. Structural gender differences may explain altered response to dynamic loading in women leading to increased soft tissue distortion and greater injury...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e318160462a

    authors: Stemper BD,Yoganandan N,Pintar FA,Maiman DJ,Meyer MA,DeRosia J,Shender BS,Paskoff G

    更新日期:2008-01-15 00:00:00

  • Progressive disc herniation: an investigation of the mechanism using radiologic, histochemical, and microscopic dissection techniques on a porcine model.

    abstract:STUDY DESIGN:Basic scientific investigation using radiologic, histochemical, and microscopic dissection techniques. OBJECTIVE:To document the process of mechanically induced disc herniation from repetitive loading exposure. SUMMARY OF BACKGROUND DATA:Current knowledge of the mechanism of disc herniation is limited to...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e31815b64f5

    authors: Tampier C,Drake JD,Callaghan JP,McGill SM

    更新日期:2007-12-01 00:00:00

  • Surgical treatment of adolescent idiopathic scoliosis: the basics and the controversies.

    abstract::Decisions about when to operate should be based on more than just an arbitrary Cobb measurement. The patient's skeletal maturity, balance, and other parameters of curve size also should be considered. Although it is desirable to fuse as few segments as possible, there is no benefit to fusing short if the top and botto...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199405000-00020

    authors: Bridwell KH

    更新日期:1994-05-01 00:00:00

  • Plantar weight-bearing pattern in idiopathic scoliosis.

    abstract::Eighty-four patients were objectively evaluated with a weight-bearing pattern analyzer to determine whether spine deformity has an effect on the amount of weight borne on the right versus left foot and on the fore versus the hind foot. Patients with idiopathic scoliosis treated with bracing and surgery and patients wi...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199107000-00012

    authors: Hoppenfeld S,Lopez RA,Molnar G

    更新日期:1991-07-01 00:00:00

  • Can the interpedicular distance reliably assess the severity of thoracolumbar burst fractures?

    abstract:STUDY DESIGN:Retrospective analysis of 260 patients with acute spine fractures treated at a tertiary trauma center from 1989 to 2009. OBJECTIVE:To correlate the Interpedicular distance (IPD) to the percentage of narrowing of the spinal canal and to the presence of neurological deficit and laminar fracture in thoracolu...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e318237b0cf

    authors: Caffaro MF,Avanzi O

    更新日期:2012-02-15 00:00:00

  • Genetic linkage localizes an adolescent idiopathic scoliosis and pectus excavatum gene to chromosome 18 q.

    abstract:STUDY DESIGN:A single large family, in which adolescent idiopathic scoliosis (AIS) and pectus excavatum (PE) segregate as an autosomal dominant condition, was evaluated. Genome-wide linkage analysis and candidate gene sequencing were performed. OBJECTIVE:To map the disease-causing locus in a large white family in whic...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0b013e31818b88a5

    authors: Gurnett CA,Alaee F,Bowcock A,Kruse L,Lenke LG,Bridwell KH,Kuklo T,Luhmann SJ,Dobbs MB

    更新日期:2009-01-15 00:00:00

  • Motor Control Exercise for Nonspecific Low Back Pain: A Cochrane Review.

    abstract:STUDY DESIGN:A systematic review. OBJECTIVE:The aim of this review was to evaluate the effectiveness of motor control exercise (MCE) in patients with nonspecific low back pain (LBP). SUMMARY OF BACKGROUND DATA:MCE is a common form of exercise used for managing LBP. MCE focuses on the activation of the deep trunk musc...

    journal_title:Spine

    pub_type: 杂志文章,评审

    doi:10.1097/BRS.0000000000001645

    authors: Saragiotto BT,Maher CG,Yamato TP,Costa LOP,Costa LCM,Ostelo RWJG,Macedo LG

    更新日期:2016-08-15 00:00:00

  • Scoliosis after median sternotomy in children with congenital heart disease.

    abstract:STUDY DESIGN:A retrospective review of spinal deformity in patients with congenital heart disease surgically treated through a median sternotomy before the age of 8 years. Assessment was done on chest roentgenograms at skeletal maturity. OBJECTIVES:To determine if patients surgically treated through a median sternotom...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.brs.0000158959.91925.43

    authors: Ruiz-Iban MA,Burgos J,Aguado HJ,Diaz-Heredia J,Roger I,Muriel A,Sanchez PA

    更新日期:2005-04-15 00:00:00

  • IGF-I and TGF-beta1 application by a poly-(D,L-lactide)-coated cage promotes intervertebral bone matrix formation in the sheep cervical spine.

    abstract:STUDY DESIGN:A sheep cervical spine interbody fusion model was used to determine the effect of combined insulin-like growth factor-I (IGF-I) and transforming growth factor-beta-1 (TGF-beta1) applied by a poly-(D,L-lactide) (PDLLA)-coated cage. OBJECTIVES:The purpose of this study was to determine the effect of a new P...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-200208150-00006

    authors: Kandziora F,Schmidmaier G,Schollmeier G,Bail H,Pflugmacher R,Görke T,Wagner M,Raschke M,Mittlmeier T,Haas NP

    更新日期:2002-08-15 00:00:00

  • Tortuous course of the vertebral artery and anterior cervical decompression: a cadaveric and clinical case study.

    abstract:STUDY DESIGN:Both the cadaveric and clinical examples of anomalous vertebral artery courses are described. The incidence of this anomaly in the general population and recognition, complications, and treatment options for these patients when undergoing anterior cervical decompression are discussed. OBJECTIVES:Cadaveric...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-200011150-00004

    authors: Curylo LJ,Mason HC,Bohlman HH,Yoo JU

    更新日期:2000-11-15 00:00:00

  • Operative treatment of scoliosis with the Kaneda anterior spine system.

    abstract:STUDY DESIGN:Prospective, single-cohort study. OBJECTIVE:To evaluate thoracic and thoracolumbar scoliosis using the Kaneda anterior spine dual-rod system (KASS). SUMMARY OF BACKGROUND DATA:In selected cases, anterior correction of scoliosis has several advantages over the traditional posterior instrumentation. Other ...

    journal_title:Spine

    pub_type: 临床试验,杂志文章

    doi:10.1097/01.brs.0000170291.77450.8b

    authors: Saraph VJ,Krismer M,Wimmer C

    更新日期:2005-07-15 00:00:00

  • Acute effects of nucleus pulposus on blood flow and endoneurial fluid pressure in rat dorsal root ganglia.

    abstract:STUDY DESIGN:An experimental study to elucidate the initial factors in the pathogenesis of lumbar pain caused by disc herniation. OBJECTIVE:To evaluate the effects of autologous nucleus pulposus on blood flow and endoneurial fluid pressure in dorsal root ganglia. SUMMARY OF BACKGROUND DATA:Human sciatica is known to ...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/00007632-199812010-00006

    authors: Yabuki S,Kikuchi S,Olmarker K,Myers RR

    更新日期:1998-12-01 00:00:00

  • Pelvic bone asymmetry in 323 study participants receiving abdominal CT scans.

    abstract:STUDY DESIGN:Retrospective review of all CT scans of pelvis and abdomen performed at our institution in October and November 2000. OBJECTIVE:To determine the prevalence and extent of radiographic pelvic asymmetry in a population of patients not preselected for having low back pain. SUMMARY OF BACKGROUND DATA:Pelvic a...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/01.BRS.0000065480.44620.C5

    authors: Badii M,Shin S,Torreggiani WC,Jankovic B,Gustafson P,Munk PL,Esdaile JM

    更新日期:2003-06-15 00:00:00

  • Occult spinous process fractures associated with interspinous process spacers.

    abstract:STUDY DESIGN:Prospective observational study. OBJECTIVE:To provide a more accurate estimate of the rate of acute spinous process fractures associated with IPS surgery. SUMMARY OF BACKGROUND DATA:Biomechanical cadaveric studies have suggested adequate spinous process strength to support placement of interspinous proce...

    journal_title:Spine

    pub_type: 临床试验,杂志文章

    doi:10.1097/BRS.0b013e318204066a

    authors: Kim DH,Tantorski M,Shaw J,Martha J,Li L,Shanti N,Rencu T,Parazin S,Kwon B

    更新日期:2011-07-15 00:00:00

  • Robot-Assisted Posterior C1-2 Transarticular Screw Fixation for Atlantoaxial Instability: A Case Report.

    abstract:STUDY DESIGN:Case report. OBJECTIVES:The aim of this study was to assess the feasibility, safety, and accuracy of a new robotic system for performing posterior C1-2 transarticular screw fixation for atlantoaxial instability. SUMMARY OF BACKGROUND DATA:C1-2 transarticular fixation is a reliable procedure. However, the...

    journal_title:Spine

    pub_type: 杂志文章

    doi:10.1097/BRS.0000000000001674

    authors: Tian W

    更新日期:2016-10-01 00:00:00