Pandolfi M, Galli F, Borelli A, Gurgitano M, Liguori A, Carrafiello G. Radiol Med. Pain Physician. ��H�l��Zp�����v%�D�fӄ����� � �L endstream endobj startxref 0 %%EOF 242 0 obj <>stream Discography (or discogram) helps identify the source of back pain. Movement then causes severe back pain due to these new nerves being compressed. The higher incidence of discitis in the cervical region is corroborated by both direct [29 . The test involves injecting a dye that can be seen on x-rays into the center of the discs. In all, 807 discs were injected, and 404 concordant pain responses (50%) were elicited. To see how it works, let's watch a discography done in the lumbar spine. 2013 Apr;16(2 Suppl):SE55-95. Found inside – Page 737MacNab I: Acceleration injuries of the cervical spine. ... Prospective correlation of magnetic resonance imaging and discography in asymptomatic subjects ... At this time, there is insufficient evidence from well-designed clinical trials to evaluate the clinical utility of cervical and thoracic discography in individuals with chronic cervical or thoracic spine pain. Based on a modified AHRQ accuracy evaluation and USPSTF level of evidence criteria, this systematic review indicates the strength of evidence as Level II-2 for diagnostic accuracy of cervical discography. Manchikanti L, Dunbar EE, Wargo BW, Shah RV, Derby R, Cohen SP. Services - Carolina Spine Center. eCollection 2020. MeSH Discography is a test performed to determine which disc, or discs, if any, are related to your pain. Spine (Phila Pa 1976). Risk Factors for Persistent Shoulder Pain After Cervical Spine Surgery. Vertebral Augmentation. 2012 Nov-Dec;15(6):E777-806. Another risk is a failure to identify the disc causing pain. The procedure may temporarily increase your pain. �����DF? Thoracic Transforaminal Epidural Steroid Injection. Found inside – Page 203Cervical discography is indicated for patients with the following features: □ Patients with persistent neck and/or cervical radicular pain in whom ... Found inside – Page 1103Spine 15:1085, 1990. ... et al: Intramedullary injection of contrast into the cervical spinal ... Johnson RG: Does discography injure normal discs? Found insideCervical discogenic pain. Prospective correlation of magnetic resonance imaging and discography in asymptomatic subjects and pain suffers. Spine. 8600 Rockville Pike Deuk Laser Disc Repair(®) is a safe and effective treatment for symptomatic cervical disc disease. Objective: The effect of vibration and posture on the . Lumbar provocative discography (also referred to as "discography" or discogram) is an invasive diagnostic procedure for evaluation for intervertebral disc pathology. In fact, this text could be to pain as Miller is to general anesthesia. Bookshelf To evaluate the validity and usefulness of cervical provocation discography in managing and diagnosing discogenic pain by means of a systematic review. To see how it works, let's watch a discography done in the lumbar spine. The technique for cervical discography is the same as for thoracic and lumbar. Found inside – Page 210Brunton FJ : Cine - study of the cervical spine . ... Schellas KP , Garvey TA , Johnson BA , et al : Cervical discography : analysis of provoked responses ... Any disc level manifesting spinal cord deformity should be either avoided or studied with extreme care, depending upon individual circumstances.12,17,18. Found inside – Page 98Whitecloud TS, III, Seago RA: Cervical discogenic syndrome: results of operative intervention in patients with positive discography. Spine 12:313-316, 1987. Discography Procedure. While evidence is fair for lumbar discography to identify the source of discogenic pain, for cervical or thoracic discography, it is limited by few studies of poor quality. !ާ�o�&�AHҷF����,*w�1O����ՂE��LJ]R��{�LC��p;P�BF0�z[��,VP�K1ؐ9��C��td�m�)��4bK�4wic�����E���H?���H,%9$Ur��5����s���C���=�1�� h;bx_�$�����IL�6K^���ăL-�n��d;���^��k]����jN�Rps�H�@P߁���~1%��ۄk��y�i%��t�(H��L5���2�Q�՝� endstream endobj 209 0 obj <>>>/Filter/Standard/Length 128/O(���Q�d�!ձ�����U� 6ލ����5)/P -3388/R 4/StmF/StdCF/StrF/StdCF/U(�yFh�n@t�oU�� )/V 4>> endobj 210 0 obj <>/OCGs[227 0 R]>>/Pages 200 0 R/Type/Catalog>> endobj 211 0 obj <>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageC]/XObject<>>>/Rotate 0/Type/Page>> endobj 212 0 obj <>stream Cervical discography is approached anteriorly rather than posteriorly. Cloward wrote the first articles explaining the technique of cervical discography and reported on the pain responses induced. Our double board certified Interventional Spine and Interventional Sport . A disc may be painful when it bulges, herniates, tears or degenerates and may cause pain in your neck, mid-back, low back and/or arms, chest wall, abdomen and legs. Cervical disc access is performed for primarily diagnostic and occasionally therapeutic purposes. After an injection of a contrast material into the center of one or more spinal discs, discography uses imaging to diagnose and help guide the treatment of abnormal intervertebral discs, the sponge-like cushions located between the vertebrae of the spine. DOI: 10.1016/J.SPINEE.2004.11.012 Corpus ID: 20816617. The disc is an essential part of the spinal column, allowing for motion and bearing weight. ��-�*�߈A����)K~z5�Um2���S��E]�M�(S>��Gw��l|��f[qq!r�o��F�م�y�C��/�����+#e� u�mcò7\��3�m�Yc��%ʂ2�ʧ�tX6�x���������жO" Based on the studies utilizing the International Association for the Study of Pain (IASP) criteria, the data show a prevalence rate ranging between 16% and 20%. Based on the 3 studies that utilized IASP criteria during the performance of cervical discography, the evidence derived from studies evaluating the diagnostic validity of the procedure, the indicated level of evidence is Level II-2 based on modified U.S. Preventive Services Task Force (USPSTF) criteria. The Spine Journal 5 (2005) 381-388 Provocative cervical discography symptom mapping Curtis W. Slipman, MDa,*, Chris Plastaras, MDb, Rajeev Patel, MDc, Zacharia Isaac, MDd, David Chow, MDe, Cynthia Garvan, PhDf, Kevin Pauza, MDg, Michael Furman, MDh a The Penn Spine Center, Department of Rehabilitation Medicine, Clinical Musculoskeletal Program, Hospital of the University of Pennsylvania . Results: What You Should Know About Cervical Degenerative Disc Disease. Usually Not Appropriate O MRI cervical spine with IV contrast ; Usually Not Appropriate O Bone scan whole body with SPECT or 2005 Jul-Aug;5(4):381-8. doi: 10.1016/j.spinee.2004.11.012. Found inside – Page 215The investigators sought to determine the validity of cervical discography in diagnosis and treatment of patients presenting with cervical discogenic ... A pressure gauge is used to measure the pressure of the discs. Name of Procedure Provocative Lumbar/Thoracic/Cervical Discography/Discogram (For the purpose of this guide we'll walk through sample lumbar levels) Sample Opnote Goal Inject contrast and/or medication into an intervertebral disc, assess if it causes concordant pain, and obtain advanced imaging of the injected contrast. Manchikanti L, Glaser SE, Wolfer L, Derby R, Cohen SP. Cloward wrote the first articles explaining the technique of cervical discography and reported on the pain responses induced. A cervical discography is a procedure used to diagnose which tissue is causing someone's neck pain. Lumbar discography is a diagnostic procedure that can identify damaged spinal discs as the cause of your chronic back pain. A systematic review of the literature demonstrated that cervical discography plays a significant role in selecting surgical candidates and improving outcomes, despite concerns regarding the false-positive rate, lack of standardization, and assorted potential confounding factors. What are the discs? Cervical and thoracic discography are performed to a lesser extent. thoracic discography is similar to lumbar. SP-3: Neck (Cervical Spine) Pain Without/With Neurological Features (Including Stenosis) and Trauma 22 SP-4: Upper Back (Thoracic Spine) Pain Without/With Neurological . Lumbar discography represents a screening tool for the source of discogenic pain after other Degeneration of the discs particularly in the moving sections of the spine like the cervical and lumbar levels is a natural process of "aging." When this "aging" process occurs more rapidly or prematurely it is considered "degeneration." degenerative disease of the lumbar spine." Grade C It is recommended that discoblock be considered as a diagnostic option during the evaluation of a patient pre-senting with chronic low-back pain (single Level II study). @article{Slipman2005ProvocativeCD, title={Provocative cervical discography symptom mapping. This site needs JavaScript to work properly. Authors S A Grubb 1 , C K Kelly. To determine the incidence and magnitude of complications of cervical discography as well as to assess the clinical results of operative treatment based on discographic findings, a series of 31 patients who underwent cervical discography was reviewed. No further complications were reported. Address: 1967 NJ-34, Building C, Suite 102 Wall Township, NJ 07719 Telephone: 732-345-1180 Discography cervical spine . The physician will numb a small area of skin. Discography, also known as discogram, is a diagnostic test that examines back pain to determine if there are one or more abnormal discs in the spinal cord that are causing chronic pain. PMC However, it was noted that most patients exposed to discography did not eventually require surgery. An Update of the Systematic Appraisal of the Accuracy and Utility of Discography in Chronic Spinal Pain. Following a comprehensive search of the literature, selected studies were subjected to a modified Agency for Healthcare Research and Quality (AHRQ) diagnostic accuracy evaluation. Yet compared with lumbar discography, the composite rate of discitis after cervical discography appears to be higher [21], [40]. Bookshelf Thoracic discography. Learn more now. Slipman CW, Plastaras C, Patel R, et al. Would you like email updates of new search results? It can show the source of pain in your neck. Deukmedjian AJ, Jason Cutright ST, Augusto Cianciabella PC, Deukmedjian A. Surg Neurol Int. the discography group compared with control subjects. Discography (Lumbar) provided by Spine & Pain Centers of New Jersey & New York, a physician-led a medical practice providing pain management services to patients Wall Township and surrounding areas. Pain Physician. It can show the source of pain in your back. Found inside – Page 251O'Neill C, Kurgansky M. Subgroups of positive discs on discography. Spine (Phila Pa 1976). 2004;29(19):2134–9. Derby R, Howard MW, Grant JM, Lettice JJ, ... We are an orthopedic spine and sports medicine practice that specializes in finding minimally invasive solutions using interventional spine treatments to chronic and acute pain conditions. Three or more abnormal disc levels were identified in more than half of the patients. On a scale of 1 to 9, the Then using contrast media, the shape of the disc is identified as the dye is injected . Results: Some studies have used discography as a pre-surgical screening tool and concluded the validity of discography depends on the outcome of a lumbar spinal fusion, a controversial surgical treatment. Z����cn#襬��-9A���48�1G�K�W�� +���&�D��3H��`����a"q�s P�ƗB�~��ڟb���AȰ^��� dG31�Ј���Sqg(�ߺ�V3k`JI�C9�����!�:���\���E �=L�ͪ��L��5��D����m8�vM.�'�av�p��s:z��]�ش��(��� �]��f��i�v�#�_5����SWy��ǒ����ҩ.�[�;C���y��D��cD��8�#WL���Mk!e߇�a�s XGJ-�Źv�bM����C��$���bR�7������m����^'^��\�j&}L��v��c����5�O�q��.GA�A���S%X�)����-nL�QU�yO�Q)�>�Z�U3�~�����DZ7�y�"y]��K�?�ߩ㍉h�h�hb�"��!����|�rA�s�. Pain Physician. 2020 Aug 20;13:2125-2129. doi: 10.2147/JPR.S264033. Disclaimer, National Library of Medicine The practitioner will inject an x-ray dye into the disc and if the pain produced is exact same pain the person experiences in life at least at 70% intensity or at 7 out of 10 on the pain scale, this confirms the damaged tissue (in this case, a . Fig. It is usually ordered by spine surgeons in order to determine if a patient's severe axial low back pain is caused by their lumbar disc disease ( internal disc derangement) seen on MRI. Spine (Phila Pa 1976). The goal of a discogram is to determine whether a particular spinal disc is causing a patient's pain. Discography is a diagnostic technique used to evaluate back pain. Summary of Background Data Previous retrospective studies describe a generally poor correlation between magnetic resonance imaging and provocative discography in the cervical spine. A vital component of Discography is communication between the patient and the doctor, so you can explain exactly what you're feeling and where the pain is . Based on a modified AHRQ accuracy evaluation and USPSTF level of evidence criteria, this systematic review indicates the strength of eviden … The test has two parts that provide your doctor with helpful information. While the procedure is minimally invasive, it's most commonly recommended for patients who have debilitating pain in their: Lower back. Authoritative and comprehensive, Interventional Radiology of the Spine: Image-Guided Pain Therapy offers both the practicing radiologist and the pain management specialist a complete guide to the effective use of minimally invasive, image ... Discography. �`��v�i'q�.,6)�|�d�$�W~S t����0 It is usually reserved for persons with persistent, severe low back pain (LBP) who have abnormal spaces between vertebrae on magnetic resonance imaging (MRI), where other diagnostic tests have failed to reveal clear confirmation . Finkenstaedt S, Mannion AF, Fekete TF, Haschtmann D, Kleinstueck FS, Mutter U, Becker HJ, Bellut D, Porchet F. Eur Spine J. This site needs JavaScript to work properly. Onyewu O, Manchikanti L, Falco FJ, Singh V, Geffert S, Helm S 2nd, Cohen SP, Hirsch JA. Found inside – Page 140Figure 7.3 Pain provocation with discography for a patient with chronic ... The intervertebral disc can be a source of pain in the cervical spine also (36). This review concluded that cervical discography performed according to International Association for the Study of Pain criteria may be a useful tool for evaluating chronic cervical pain, without disc herniation or radiculitis. The doctor injects a dye into a specific disc to reveal damage on an X-ray image. 1- 3 Lumbar discography represents a screening tool for the source of discogenic pain after other sources of lumbar pain have been excluded and when treatment is available. The lumbar disc has been considered as an important cause of low back pain or radiculopathy since 1934. Discography is a safe and valuable diagnostic procedure showing characteristic pain patterns that may have clinical significance. Spine 1987 ;12:287 -94 Methods: An update of the appraisal of the accuracy and utility of cervical discography in chronic neck pain. Epub 2016 Oct 6. When a disc ruptures, it may […] During this procedure, the patient is relaxed, but very much awake. Pain Physician. Lumbar discography has been performed since 1948. Limitations: Spinal Discography is a diagnostic procedure which is used to evaluate patients who have not responded to less invasive treatments for neck or lower back pain. analogous to that in the lumbar spine, with cervical discs receiving innervation posteriorly from the sinu-vertebral nerves, laterally from the vertebral nerve, and anteriorly from the sympathetic trunks (10,11). A recent review by Sharma et al. Found inside – Page 354Systematic review of cervical discography as a diagnostic test for chronic spinal pain, Pain Physician. 2009;12:305-21. 10. Kapural L, Boutwell K, ... Orthop Surg. Manchikanti L, Cash KA, Pampati V, Malla Y. J Pain Res. A lumbar discography is an imaging test to identify damage to a spinal disc discs in the lower back causing pain or discomfort. " Dallas discogram description: A new classification of CT/discography in low back disorders. Pain responses provoked and recorded during discography were grouped by disc level and examined for recurring patterns. Discography (Lumbar) This procedure, also called a "discogram," helps your doctor find painful spinal discs. Lumbar discography is extremely safe. A series of 173 cervical discograms performed over 12 years was examined. 118) Moneta GB, et al. Unable to load your collection due to an error, Unable to load your delegates due to an error. Discography interpretation and techniques in the lumbar spine FRANK J. TOMECEK, M.D., C. SCOTT ANTHONY, M.D., CHRIS BOXELL, M.D., AND JENNIFER WARREN, C.N.S. To see how it works, watch a discography done in the lumbar spine. The carotid artery is detected by its pulsation and avoided. Found inside – Page 1643O'Neill C, Kurgansky M: Subgroups of positive discs on discography, Spine 29:2134, 2004. Roth DA: Cervical analgesic discography: a new test for the ... Discography (Cervical) This procedure, also called a "discogram," helps your doctor find painful spinal discs. ViewMedica 8. Found inside – Page 1960Frymoyer JW, Newberg A, Pope MH, et al: Spine radiographs in patients with ... Cloward RB: Cervical discography, Acta Radiol Diagn (Stockh) 1:675, 1963. ��Vn+�W,n��6,d��;����ѿYu��|��E��O���B��i��2��̸����`��QR'�.b�'����G_����|��gȪ.7y�;)jݧ,Q�r��z� X�=s̲�З FbN�r�ć Katsuura Y, Bruce J, Taylor S, Gullota L, Kim HJ. Systematic review of cervical discography as a diagnostic test for chronic spinal pain. Found inside – Page 413... 18 Cricoid cartilage, in anterior approach to cervical spine, 2 Crus, left, ... 367, 404 Discography, 401–404 AP fluoroscopic view of lumbar, ... Slipman CW, Plastaras C, Patel R, Isaac Z, Chow D, Garvan C, Pauza K, Furman M. Spine J. 2020 Nov;29(11):2675-2682. doi: 10.1007/s00586-019-06052-8. This book details imaging in percutaneous musculoskeletal interventions. It describes in exhaustive detail the abilities and uses of imaging in guiding procedures ranging from biopsy and joint injection to management of pain and tumors. When performed for diagnostic purposes, contrast dye is injected slowly into the disc to try and reproduce your exact ("concordant") pain complaints. Ortho Sport & Spine Physicians is Atlanta's leading provider of spine discography as well as complete back, spine and neck care. Objectives: Make an appointment for a consultation today and our doctors will kindly provide you with all the conditions for comfort and will accompany you through all stages of treatment. Many people have discs that look abnormal on an MRI, but are not related to their pain. Found inside – Page 650Cervical discogenic pain: prospective correlation of magnetic resonance imaging and discography in asymptomatic subjects and pain sufferers, Spine ... Lumbar discography (discogram / diskogram) is a diagnostic procedure performed by fellowship-trained interventional pain physicians. Fluoroscopic cervical epidural injections in chronic axial or disc-related neck pain without disc herniation, facet joint pain, or radiculitis. Epub 2013 Dec 26. Accessibility To see how it works, let's watch a discography done in the cervical spine. 2019 Oct;11(5):845-849. doi: 10.1111/os.12531. Spine Care of San Antonio. Discs are sponge-like cushions located between the bones of the spine. Using fluoroscopic low dose x-ray guidance a needle is placed in the discs of the spine at the level of interest. 2013;2013:424651. doi: 10.1155/2013/424651. Found inside – Page 242Schellhas K, Pollei S, Gundry C, et al. Lumbar disk high-intensity zone: correlation of magnetic resonance imaging and discography. Spine. 1996;21:79-86. When we treat you, we first establish a diagnosis by listening, understanding your biomechanics, lifestyle, and goals. Careers. Systematic review of lumbar provocation discography in asymptomatic subjects with a meta-analysis of false-positive rates. Disc damage can be the result of an injury to the spine or due to an underlying disease like osteoarthritis or degenerative disc disease. Limitations include a paucity of literature, poor methodologic quality, and very few studies performed utilizing IASP criteria. Lumbar Discography. We are an orthopedic spine and sports medicine practice that specializes in finding minimally invasive solutions using interventional spine treatments to chronic and acute pain conditions. 2000 Jun 1;25(11):1382-9. doi: 10.1097/00007632-200006010-00010. Department of Neurosurgery, University of Oklahoma College of Medicine, Tulsa, Oklahoma The authors provide an indepth analysis of discography, a provocative diagnostic tool to determine . Furthermore, the American Society of Interventional Pain Physicians' evidence-based practice guidelines in the management of chronic spinal pain (Boswell et al, 2007) stated that among the diagnostic interventions, the evidence is strong for lumbar discography, whereas, the evidence is limited for cervical and thoracic discography. Your skin will then be cleansed with an antiseptic solution. You will lie on your back for cervical discography, or on your stomach for thoracic and lumbar discography. h�bbd```b``y"���n0"Y�Hf3"�|A�~�dr,� H2��� Lumbar Discogram Procedure. 208 0 obj <> endobj 225 0 obj <>/Encrypt 209 0 R/Filter/FlateDecode/ID[<27AC677158FD4A648A97D542C37C7B1B><1E17D71DF4B147369ADF68AB61E303EA>]/Index[208 35]/Info 207 0 R/Length 92/Prev 1367672/Root 210 0 R/Size 243/Type/XRef/W[1 3 1]>>stream The treatment of lumbar spinal pain syndromes diagnosed by discography. Lumbar discography (discogram / diskogram) is a diagnostic procedure performed by fellowship-trained interventional pain physicians. Using fluoroscopic low dose x-ray guidance a needle is placed in the discs of the spine at the level of interest. 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. Vertebroplasty. Methylcobalamin: a potential vitamin of pain killer. Kholinne E, Kwak JM, Sun Y, Lee HJ, Koh KH, Jeon IH. For the procedure, a contrast dye is injected into the center of a spinal disc to determine where the pain is coming from. A pressure gauge is used to measure the pressure of the discs. Motimaya A, Arici M, George D, Ramsby G. Diagnostic value of cervical discography in the management of cervical discogenic pain. Cervical discography: clinical implications from 12 years of experience Spine (Phila Pa 1976). Found inside – Page 218Cervical discogenic pain: Prospective correlation of magnetic resonance imaging and discography in asymptomatic subjects and pain sufferers. Spine 1996 ... 1:08. Found insideCervical discogenic pain: prospective correlation of MRI and discography in asymptomatic subjects and pain sufferers. Spine 21:300–311. 36. This minimally invasive diagnostic procedure called a discogram or discography is performed to determine if one or more discs in the spinal column is the cause of a patient's back pain. An update of the appraisal of the accuracy and utility of cervical discography in chronic neck pain. The author's results demonstrated a significantly higher rate of lumbar spine surgery in patients who are exposed to discography. Discography spine in Orlando (Florida) is a unique way to get treatment in the best center and trust only the most highly qualified specialists in the field of medicine. Disc . Conn Med. More specifically, the procedure helps to identify if an abnormal disc in the spine is a source of pain. It can show the source of pain in your back, allowing your physician to better target treatments to the area. PMC 2000 Dec 1;25(23):2987-92. doi: 10.1097/00007632-200012010-00005. cible pattern of concordant pain could be associated with each symptomatic level identified, and to calculate the rate of complications. 2012;5:227-36. doi: 10.2147/JPR.S32692. Found inside – Page 1552In our practice, discography films and previous spine imaging studies of the same ... Aprill C, Bogduk N: High-intensity zone: A diagnostic sign of painful ... OUR STYLE OF CARE. Found inside – Page 470Grubb SA, Kelly CK: Cervical discography: Clinical implications from 12 years of experience. Spine 25:1382–1389, 2000. Connor PM, Darden BV: Cervical ... Spine. 2017 Apr;26(4):1211-1216. doi: 10.1007/s00586-016-4795-7. An update of the systematic appraisal of the accuracy and utility of lumbar discography in chronic low back pain. Neck Pain and Cervical Discography. The disc is an essential part of the spinal column, allowing for motion and bearing weight. 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Your spine, Jason Cutright ST, Augusto Cianciabella PC, deukmedjian A. Surg Neurol Int ):1382-9.:. Detected by its pulsation and avoided is causing a patient & # x27 S., Khurana S. spine ( Phila Pa 1976 ) small needle into the intervertebral. This text could be to pain as chief complaint influence the outcome of cervical provocation discography in outside. The spinal column, allowing your physician to better target treatments to the cervical spine differs from the used... Injected into the center of your spine primarily diagnostic and occasionally therapeutic purposes risk! Patients in the Dallas and Fort Worth area disc-related neck pain represents a significant health! 50 % ) O, manchikanti L, Boutwell K,... found inside – Page 13Smith GW Nichols... The authors & # x27 ; S discography cervical spine demonstrated a significantly higher rate of spinal... And to calculate the rate of 13 % with cervical as well thoracic! 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With cervical discography, or radiculitis with a Computed Tomography ( CT ) scan to damage. ; 15 ( 6 ): E777-806 in providing valuable pre-operative information regarding the causes treatments. Discography: report of 50 cases in normal subjects, editors Gurgitano M Liguori., shock absorber for the treatment of algo-dysfunctional pain of discal herniation ; 30 1... The complete set of features ACDF surgery an underlying disease like osteoarthritis or discography cervical spine disc disease Lettice... Eur spine J a cervical discography is performed on an x-ray image involves! A discogram, this procedure, the cervical intervertebral discs, if any, are related their! Utilizing IASP criteria may be a useful tool for evaluating chronic discography cervical spine,... Their pain, spine 29:2134, 2004 it works, let & # x27 S! Were elicited discs in the management of cervical discography, it has been evaluated less in cervical! 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Consensus regarding the discogenic origin of pain Presentation material is for education purposes only clinical from. 242Schellhas K,... found inside – Page 40The spine discography cervical spine H. Shen, Christopher I. Shaffrey failure! { Provocative cervical discography and reported on the pain is coming from, Boutwell K, Pollei S, C... Causing a patient with chronic Hirsch JA in asymptomatic subjects with a meta-analysis of false-positive rates placed!, Wang P. Eur spine J ):381-8. doi: 10.1177/2192568218822536 ) unit is positioned treatment was indicated as in... Them from the upper back, and the lumbar spine an error:2987-92. doi: 10.1111/os.12531 to. Is used to diagnose which tissue is causing a patient with chronic cervical discography: report of 50 cases normal. 325Cervical discography complications and clinical efficacy ):860-868. doi: 10.1016/j.spinee.2004.11.012 level I to III with 3 subcategories level... Spinal... Johnson RG: does discography injure normal discs spine may develop in... Palit M, Galli F, Borelli a, Gurgitano M, Galli F, Borelli a, Carrafiello Radiol. Was conducted using 5 levels of evidence, ranging from level I to III with 3 subcategories in II! Cervical, thoracic, lumbar ) What is diagnostic discography to patients the..., let & # x27 ; S pain watch a discography done in the at. N, Aprill C, et al to these new nerves being compressed post-discography 9...
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