| Association between findings of provocative discography and vertebral endplate signal changes as seen on MRI. | |
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MedLine Citation:
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PMID: 11052355 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Provocative discography is a controversial diagnostic tool for pathologic discs. Modic has identified vertebral endplate signal changes on magnetic resonance imaging (MRI) that are thought to signify advanced discogenic degeneration. These two distinct diagnostic tools are examined to determine if there is association between them. Fifty-three consecutive patients who underwent both investigations were retrospectively reviewed. In discs that had negative T1 MRI findings, 28.2% of patients had concordant pain and 17.3% had discordant pain. In discs with positive T1 MRI findings, 34.8% of patients had concordant pain and 17.4% had discordant pain. 79.5% and 74.4% of levels with patient concordant pain on discography had no endplate changes on T1- and T2 weighted MR images, respectively (compared with 84.5% and 81.7%, respectively, for levels with no patient pain on discography). Our data showed no significant relationship between these distinct diagnostic tools. Further investigation of their relative roles in this application is recommended. |
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Authors:
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H S Sandhu; L P Sanchez-Caso; H K Parvataneni; F P Cammisa; F P Girardi; B Ghelman |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of spinal disorders Volume: 13 ISSN: 0895-0385 ISO Abbreviation: J Spinal Disord Publication Date: 2000 Oct |
Date Detail:
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Created Date: 2001-02-02 Completed Date: 2001-03-01 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8904842 Medline TA: J Spinal Disord Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 438-43 Citation Subset: IM |
Affiliation:
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Department of Orthopaedic Surgery, Hospital for Special Surgery, Weill Medical College of Cornell University, New York, New York 10021, USA. sandhuh@hss.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Contrast Media Humans Intervertebral Disk / pathology*, radiography* Intervertebral Disk Displacement / pathology*, radiography* Intraoperative Complications / etiology Low Back Pain / etiology, pathology, physiopathology Lumbar Vertebrae / pathology*, radiography* Magnetic Resonance Imaging Middle Aged Observer Variation Predictive Value of Tests Retrospective Studies Spinal Fusion / adverse effects, contraindications |
| Chemical | |
Reg. No./Substance:
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0/Contrast Media |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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