개인구독
소속 기관이 없으신 경우, 개인 정기구독을 하시면 저렴하게
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지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.10
- 수록면
- 447 - 453 (7page)
- DOI
- 10.3344/kjp.2021.34.4.447
이용수
초록· 키워드
오류제보하기
Background: Provocative discography (PD) is a test that is useful in diagnosing discogenic pain (DP). In this study, to diagnose DP, we used a posterolateral approach of needle placement and followed pressure criteria laid down by the Spine Intervention Society. The aim was to identify the correlation between magnetic resonance imaging (MRI) findings (desiccation, high intensity zone and change in shape and size of the disc) and the results of PD.
Methods: Records of 50 patients who underwent PD for DP were analyzed. A total of 109 PDs were performed, with 54 suspect and 55 control discs. Alternate pain generators were ruled out.
Results: A total of 35 suspect discs were positive on PD. The mean disc pressure in the suspect disc was 31.9 ± 7.9 psi (range, 15-44). Of the 50 patients who underwent PD, 35 had positive MRI findings. A significant positive correlation was found only between disc desiccation and discography result (r = 0.6, P < 0.001). Logistic regression analysis revealed that only desiccation successfully predicted the result of discography (OR = 26.5, P < 0.001); a high intensity zone and a disc protrusion/ extrusion had an OR 2.3 and 1.24, respectively. Disc desiccation of Pfirmann grade 3 or more had a sensitivity and specificity of 0.93 and 0.64 respectively in identifying painful discs; the positive likelihood ratio was 2.58 while the negative likelihood ratio was 0.11.
Conclusions: In patients with DP, disc desiccation is the most useful MRI feature that predicts a painful disc on PD.
목차
등록된 정보가 없습니다.
참고문헌 (38)
참고문헌 신청
Nachemson A / 1996 / Lumbar disc disease with discogenic pain. What surgical treatment is most effective? / Spine (Phila Pa 1976) 21:1835~1838
Zhou ZJ / 2011 / Meta-analysis of instrumented posterior interbody fusion versus instrumented posterolateral fusion in the lumbar spine / J Neurosurg Spine 15:295~310
Robaina-Padrón FJ / 2007 / Controversies about instrumented surgery and pain relief in degenerative lumbar spine pain. Results of scientific evidence / Neurocirugia (Astur) 18:406~413
Mayer HM / 2001 / Discogenic low back pain and degenerative lumbar spinal stenosis - how appropriate is surgical treatment? / Schmerz 15:484~491
Lei D / 2008 / Painful disc lesion: can modern biplanar magnetic resonance imaging replace discography? / J Spinal Disord Tech 21:430~435
Zhou ZJ / 2011 / Meta-analysis of instrumented posterior interbody fusion versus instrumented posterolateral fusion in the lumbar spine / J Neurosurg Spine 15:295~310
Robaina-Padrón FJ / 2007 / Controversies about instrumented surgery and pain relief in degenerative lumbar spine pain. Results of scientific evidence / Neurocirugia (Astur) 18:406~413
Mayer HM / 2001 / Discogenic low back pain and degenerative lumbar spinal stenosis - how appropriate is surgical treatment? / Schmerz 15:484~491
Lei D / 2008 / Painful disc lesion: can modern biplanar magnetic resonance imaging replace discography? / J Spinal Disord Tech 21:430~435
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