Spine Archive: Discography

Spine Surgery Buffalo

Cervical Discography

Controlled, perspective study of cervical discography in lifelong asymptomatic subjects and chronic, nonlitigious head and neck pain sufferers has the established the validity of this procedure in skilled and experience hands, MRI has been shown to be insensitive at detecting clinically significant lesions of cervical discs in patients suffering chronic axial and/or radicular pain without neurological deficit. The role of upper cervical discs and spinal structures in the pathogenesis of cephalalgia (cervicogenic headache) has been recently investigated and described. Cervical discography performed at all accessible cervical levels may aid the investigation of pain of suspected cervical discogenic origin.

¹Abitbol MD, Jean-Jacques. Orthopaedic Knowledge Update: Spine. Rosemont: American Academy of Orthopaedic Surgeons, 2002.

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Thoracic Discography

Controlled investigation of discography in the thoracic spine has revealed the limitations of MRI, quite similar to what was found in the cervical region. Discographically normal discs were not painful, and coincidental, painless annular tears were relatively common. Thoracic discography requires considerable operator skill and experience.

¹Abitbol MD, Jean-Jacques. Orthopaedic Knowledge Update: Spine. Rosemont: American Academy of Orthopaedic Surgeons, 2002.

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