REPORTED PAIN DURING LUMBAR DISCOGRAPHY AS A FUNCTION OF ANULAR RUPTURES AND DISC DEGENERATION - A REANALYSIS OF 833 DISCOGRAMS

被引：162

作者：

MONETA, GB

VIDEMAN, T

KAIVANTO, K

APRILL, C

SPIVEY, M

VANHARANTA, H

SACHS, BL

GUYER, RD

HOCHSCHULER, SH

RASCHBAUM, RF

MOONEY, V

机构：

[1] Institute of Occupational Health, Helsinki

[2] University of Jyvaskyla, Jyvaskyla

来源：

SPINE | 1994年 / 19卷 / 17期

关键词：

BACK PAIN; DISC PATHOLOGY; LOGISTIC REGRESSION; RANDOM EFFECTS; REPEATED MEASURES;

D O I：

10.1097/00007632-199409000-00018

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Study Design. This re-analysis was based on 833 computed tomography/discograms collected from 306 candidates for back surgery. Objectives. The goal was to test the hypothesis that outer anular ruptures are the main determinant of the pain of discography. Summary of Background Data. Previous analyses indicated univariate associations of pain with disc degeneration and anular ruptures. Methods. If present, pain was classified as ''exact'', ''similar'', or ''dissimilar'' reproduction of the previously experienced pain. For each disc, ruptures and degeneration were separately evaluated by a four-point scale. Multiple logistic regression with random effects was used in the analysis. Results. Outer anular ruptures were the only predictor of the responses ''similar'' and ''exact''. General disc degeneration was the only predictor of the response ''dissimilar''. There was no effect modification due to gender, age, and spinal level. Conclusions. During discography, the outer anulus appears to he the origin of pain reproduction.

引用

页码：1968 / 1974

页数：7

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