Abstract:
PURPOSE:To assess the relationship between imaging findings, therapy, and functional outcome in patients with persistent low back pain who are suspected of having herniated nucleus pulposus. MATERIALS AND METHODS:Data collected during a multicenter, longitudinal study were retrospectively analyzed (n = 1,084). Multivariate regression was used to determine the association between imaging findings, therapy, and functional outcome. The patient outcome measure was disability days: the number of days the patient was unable to perform work-related activities. RESULTS:In patients with at least one normal advanced (imaging other than plain radiography) diagnostic study or with an unconfirmed diagnosis of herniated nucleus pulposus, outcome at 2-year follow-up was no better in patients who were treated than in those who were not. In patients with only abnormal advanced imaging results or with a concordant diagnosis based on clinical and imaging findings, outcome was better in patients who underwent surgery than in those treated nonsurgically. Patients with a free fragment, protrusion, or extrusion that was treated surgically had fewer disability days than patients treated nonsurgically. CONCLUSION:Advanced diagnostic imaging studies can play an important role in treatment selection in patients with persistent low back pain who are suspected of having herniated nucleus pulposus.
journal_name
Radiologyjournal_title
Radiologyauthors
Ackerman SJ,Steinberg EP,Bryan RN,BenDebba M,Long DMdoi
10.1148/radiology.203.3.9169710subject
Has Abstractpub_date
1997-06-01 00:00:00pages
815-22issue
3eissn
0033-8419issn
1527-1315journal_volume
203pub_type
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