The application of lumbar discography in the diagnosis and treatment of the discogenic low back pain / 中华外科杂志
Chinese Journal of Surgery
;
(12): 1675-1677, 2006.
Artigo
em Chinês
| WPRIM
| ID: wpr-334432
ABSTRACT
<p><b>OBJECTIVE</b>To investigate the diagnostic value of lumbar discography in discogenic low back pain and the effects of intervertebral fusion surgery.</p><p><b>METHODS</b>Forty-five cases with 101 discs underwent discography, 360 degree fusion manipulation were performed on 18 discography abnormal cases, 27 cases were treated conservatively. Discography, MRI and provocative pain were observed and all the cases were followed up.</p><p><b>RESULTS</b>Twenty-one cases showed positive provocative pain (21/45, 47%), and 21 discs of 101 were concordant discography (21/101, 21%). All cases were followed up for an average 16 months (15 to 23 months), the satisfactory rate was 83% (15/18) in the surgery group and 41% (11/27) in the conservative group.</p><p><b>CONCLUSIONS</b>It is concluded that the discography is moderately sensitive in the diagnosis of discogenic low back pain. Furthermore, the short term follow-up reveals that operative group has better pain relief than conservative group.</p>
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Doenças da Coluna Vertebral
/
Fusão Vertebral
/
Cirurgia Geral
/
Diagnóstico por Imagem
/
Artrografia
/
Seguimentos
/
Sensibilidade e Especificidade
/
Dor Lombar
/
Discotomia
/
Diagnóstico
Tipo de estudo:
Estudo diagnóstico
/
Estudo observacional
/
Estudo prognóstico
Limite:
Adulto
/
Idoso
/
Feminino
/
Humanos
/
Masculino
Idioma:
Chinês
Revista:
Chinese Journal of Surgery
Ano de publicação:
2006
Tipo de documento:
Artigo
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