Diagnostic relevance of pressure-controlled discography

Dong Ah Shin, Hyoung Ihl Kim, Jae Hyun Jung, Dong Gyu Shin, Jung Ok Lee

Research output: Contribution to journalArticle

36 Citations (Scopus)

Abstract

Discogenic pain is a leading cause of chronic low back pain. The authors investigated the efficacy of pressure-controlled discography to determine its role in clinical decision-making for the management of patients with discogenic pain. Pressure-controlled discography was performed in 21 patients (51 discs) with pain-provocation, followed by post-discography computerized tomography scans. Pain response was classified as positive response and negative response, and measured with visual analog scale scores. Discographic findings were graded by the modified Dallas discogram scale. Elastance, pain provocation on intradiscal pressure, pressure and volume of initial pain response, and pain response intensity were statistically analyzed. Elastance showed significant differences between Grade 0 and Grade 4 & 5. Decreased elastance with positive pain response group was a good indicator to imply that disc degeneration presumably is a pain generator. Results of pain response were well correlated with intradiscal pressure but not with the amount of injected volume. Among 31 discs of Grade 4 and 5, 74% showed negative pain response and 26% showed positive response. It was concluded that pressure-controlled discography was useful to diagnose discogenic pain and excellent guide in decision-making for spinal operations.

Original languageEnglish
Pages (from-to)911-916
Number of pages6
JournalJournal of Korean medical science
Volume21
Issue number5
DOIs
Publication statusPublished - 2006

All Science Journal Classification (ASJC) codes

  • Medicine(all)

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