| Does provocative discography screening of discogenic back pain improve surgical outcome? | |
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MedLine Citation:
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PMID: 12131428 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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The value of preoperative provocative discography in the setting of discogenic low back pain was investigated by evaluating surgical outcomes. Seventy-three consecutive patients who underwent posterolateral interbody and posterior spinal arthrodesis for discogenic low back pain refractory to nonoperative management were reviewed. Chronologically, the first 41 patients (group A) were indicated without discography, whereas the remaining 32 (group B) had been indicated only if their pain had been reproduced during disc injection. The two groups were similar in demographic, psychometric, and radiologic parameters. Average follow-up time in group A was 2.8 years and in group B it was 2.4 years, both with a 2-year minimum. Using modified Oswestry scoring, group A and group B patients had satisfactory outcomes of 75.6% and 81.2%, respectively. This difference was neither statistically significant nor suggestive. In this study, provocative discography screening did not improve surgical outcomes after circumferential fusion for lumbar discogenic back pain. |
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Authors:
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Sanjeev Madan; Mukund Gundanna; J M Harley; N R Boeree; M Sampson |
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Publication Detail:
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Type: Clinical Trial; Controlled Clinical Trial; Journal Article |
Journal Detail:
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Title: Journal of spinal disorders & techniques Volume: 15 ISSN: 1536-0652 ISO Abbreviation: J Spinal Disord Tech Publication Date: 2002 Jun |
Date Detail:
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Created Date: 2002-07-19 Completed Date: 2002-09-03 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 101140323 Medline TA: J Spinal Disord Tech Country: United States |
Other Details:
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Languages: eng Pagination: 245-51 Citation Subset: IM |
Affiliation:
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Southampton University Hospital, Tremona Road, Southampton, New York, NY, USA. ssmadan1@juno.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Female Follow-Up Studies Humans Intervertebral Disk / radiography, surgery Intervertebral Disk Displacement* / complications, radiography, surgery Low Back Pain / diagnosis, etiology*, surgery Male Middle Aged Preoperative Care / methods Psychometrics Spinal Fusion Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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