The prolapsed intervertebral disc. The high-intensity zone with discography correlation

作者: Robert Ricketson , James W. Simmons , Bill O. Hauser

DOI: 10.1097/00007632-199612010-00010

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摘要: Study design The study compared the presence of high-intensity zone on magnetic resonance imaging with results awake discography. Objectives To see if there was a correlation between discography and imaging. Summary background data evaluation discogenic pain has proved to be somewhat elusive. Recent studies have indicated as being highly sensitive in diagnosis painful segment. present designed investigate whether is associated concordant response Methods Magnetic images were obtained 29 patients low back without radiculopathy. Consecutive considered for surgical intervention after falling respond conservative treatment. specifically looked within posterior anulus. Each patient subsequently underwent computed tomography. Computed tomography classified according Dallas Discogram Scale response. Chi-square analysis used calculate versus disc disruption Results There no statistically significant at any level. was, however, never seen morphologically normal disc. Conclusions Although anulus some abnormal discs, it not necessarily

参考文章(24)
N Bogduk, W Tynan, A S Wilson, The nerve supply to the human lumbar intervertebral discs. Journal of Anatomy. ,vol. 132, pp. 39- 56 ,(1981)
Noel Weidner, David T. Rice, Intervertebral disk material: criteria for determining probable prolapse. Human Pathology. ,vol. 19, pp. 406- 410 ,(1988) , 10.1016/S0046-8177(88)80489-1
BARTON L. SACHS, HEIKKI VANHARANTA, MARK A. SPIVEY, RICHARD D. GUYER, TAPIO VIDEMAN, RALPH F. RASHBAUM, ROBERT G. JOHNSON, STEPHEN H. HOCHSCHULER, VERT MOONEY, Dallas discogram description. A new classification of CT/discography in low-back disorders. Spine. ,vol. 12, pp. 287- 294 ,(1987) , 10.1097/00007632-198704000-00018
H. VANHARANTA, B. L. SACHS, M. A. SPIVEY, R. D. GUYER, S. H. HOCHSCHULER, R. F. RASHBAUM, R. G. JOHNSON, D. OHNMEISS, V. MOONEY, The relationship of pain provocation to lumbar disc deterioration as seen by CT/discography. Spine. ,vol. 12, pp. 295- 298 ,(1987) , 10.1097/00007632-198704000-00019
C. Aprill, N. Bogduk, High-intensity zone: a diagnostic sign of painful lumbar disc on magnetic resonance imaging. British Journal of Radiology. ,vol. 65, pp. 361- 369 ,(1992) , 10.1259/0007-1285-65-773-361
JOEL S. SAAL, RICHARD C. FRANSON, ROBERT DOBROW, JEFFREY A. SAAL, ARTHUR H. WHITE, NOEL GOLDTHWAITE, High Levels of Inflammatory Phospholipase A2 Activity in Lumbar Disc Herniations Spine. ,vol. 15, pp. 674- 678 ,(1990) , 10.1097/00007632-199007000-00011
Mario Brock, Stephan Patt, Heinz-Michael Mayer, The form and structure of the extruded disc. Spine. ,vol. 17, pp. 1457- 1461 ,(1992) , 10.1097/00007632-199212000-00003
S. Pateromichelakis, J. P. Rood, Prostaglandin E2 increases mechanically evoked potentials in the peripheral nerve Experientia. ,vol. 37, pp. 282- 284 ,(1981) , 10.1007/BF01991656