Document Detail


Diskography: infectious complications from a series of 12,634 cases.
MedLine Citation:
PMID:  17032869     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND AND PURPOSE: Diskography is commonly performed to investigate pain of suspected diskogenic origin. Although uncommon, diskitis is a feared complication of this procedure. We reviewed the incidence of diskitis and other infectious complications following diskography in a large busy outpatient practice and discuss technical aspects that may contribute to infection prevention. METHODS: We reviewed the electronic records of all diskograms obtained at our institution during a 12.25-year period, looking for all cases of procedure-related infection. All diskograms had been obtained by skilled and experienced procedural radiologists in dedicated spine-injection suites with specialized technical staff. RESULTS: There were 12,634 examinations performed on 10,663 patients for a total of 37,135 disk levels. Of the disk levels, 5981 were cervical; 3083, thoracic; and 28,071, lumbar. Two cases of confirmed lumbar diskitis and no cases of either cervical or thoracic diskitis were seen in our series. No other infectious complications were found. The incidence of diskitis was 0.016% per examination and 0.0054% per disk level. CONCLUSION: In skilled and experienced hands using proper technique, diskography is a safe outpatient procedure with an extremely low incidence of diskitis and other procedure-related infections.
Authors:
R S Pobiel; K P Schellhas; S R Pollei; B A Johnson; M J Golden; J A Eklund
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  AJNR. American journal of neuroradiology     Volume:  27     ISSN:  0195-6108     ISO Abbreviation:  AJNR Am J Neuroradiol     Publication Date:  2006 Oct 
Date Detail:
Created Date:  2006-10-11     Completed Date:  2007-01-12     Revised Date:  2008-02-14    
Medline Journal Info:
Nlm Unique ID:  8003708     Medline TA:  AJNR Am J Neuroradiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1930-2     Citation Subset:  IM    
Affiliation:
Center for Diagnostic Imaging, St. Louis Park, MN 55416, USA. rpobiel@cdirad.com
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Ambulatory Care
Antibiotic Prophylaxis
Cervical Vertebrae / radiography
Contrast Media / administration & dosage
Discitis / drug therapy,  etiology*,  radiography
Female
Gadolinium DTPA / diagnostic use
Humans
Injections, Epidural
Intervertebral Disk / radiography*
Iohexol / diagnostic use
Lumbar Vertebrae / radiography
Male
Methylprednisolone / administration & dosage,  analogs & derivatives
Minnesota
Myelography / adverse effects*,  methods
Retrospective Studies
Risk
Thoracic Vertebrae / radiography
Chemical
Reg. No./Substance:
0/Contrast Media; 122795-43-1/gadodiamide; 53-36-1/methylprednisolone acetate; 66108-95-0/Iohexol; 80529-93-7/Gadolinium DTPA; 83-43-2/Methylprednisolone

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


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