The role of discography in lumbar disc disease: a comparative study of magnetic resonance imaging and discography.

Abstract:

:This study reviews prospectively a series of 29 patients who were examined by magnetic resonance imaging (MRI) and discography for degenerative disc disease. All had persistent low-back pain and non-diagnostic initial investigations, including plain films, myelography and/or computed tomography (CT). The imaging characteristics for degenerative disc disease correlated in 65 out of 73 intervertebral levels. All symptomatic discs were degenerate on both MRI and discography. Features of degenerative disc disease on MRI were assessed retrospectively, with a view to identifying the symptomatic level as defined by discography. MRI could not reliably detect this level, particularly in those with multi-level degenerative disc disease. Positive reproduction of symptoms at discography was the criteria used for surgery. All 12 patients in this group had posterior spinal fusion performed. Nine improved and three were unchanged. Of the ancillary features associated with disc degeneration, only a bulging annulus fibrosis proved to be of any value on MRI. Nonetheless, MRI should be used as the primary investigation in this patient group as it can lead to a marked reduction in the number of disc levels requiring injection.

journal_name

Clin Radiol

journal_title

Clinical radiology

authors

Collins CD,Stack JP,O'Connell DJ,Walsh M,McManus FP,Redmond OM,Ennis JT

doi

10.1016/s0009-9260(05)82113-0

subject

Has Abstract

pub_date

1990-10-01 00:00:00

pages

252-7

issue

4

eissn

0009-9260

issn

1365-229X

journal_volume

42

pub_type

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