Document Detail

Comparison of MRI and discography in the diagnosis of lumbar degenerative disc disease.
MedLine Citation:
PMID:  1490039     Owner:  NLM     Status:  MEDLINE    
Recent reports have attempted to compare the relative value of discography and MRI in the evaluation of lumbar degenerative disc disease. None has compared the accuracy of the two techniques in regard to the detection of disc herniation specifically, and none has offered surgical correlation. In this prospective study, both techniques were used to evaluate 264 disc levels in 90 patients with incapacitating low back pain or radicular pain. The results showed an 86% agreement level both between tests and between the orthopaedist and radiologist on each test. Surgical findings agreed with diagnostic studies at 63 of 76 levels in 57 patients who underwent operative treatment. An analysis of the relative sensitivity and specificity of each test in the diagnosis of degeneration and herniation revealed that the greater sensitivity of MRI in the detection of herniation was the only statistically significant difference (p < 0.05).
T J Birney; J J White; D Berens; G Kuhn
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Controlled Clinical Trial; Journal Article    
Journal Detail:
Title:  Journal of spinal disorders     Volume:  5     ISSN:  0895-0385     ISO Abbreviation:  J Spinal Disord     Publication Date:  1992 Dec 
Date Detail:
Created Date:  1993-02-26     Completed Date:  1993-02-26     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8904842     Medline TA:  J Spinal Disord     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  417-23     Citation Subset:  IM    
Western Orthopaedic Group, P.C., Denver, Colorado.
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MeSH Terms
Evaluation Studies as Topic
Intervertebral Disk / pathology*,  radiography*
Intervertebral Disk Displacement / diagnosis,  pathology,  radiography
Magnetic Resonance Imaging*
Middle Aged
Observer Variation
Reproducibility of Results
Sensitivity and Specificity
Single-Blind Method
Spinal Diseases / diagnosis*,  pathology,  radiography

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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