COMPARISON OF MRI AND DISCOGRAPHY IN THE DIAGNOSIS OF LUMBAR DEGENERATIVE DISK DISEASE

被引：20

作者：

BIRNEY, TJ

WHITE, JJ

BERENS, D

KUHN, G

机构：

[1] Western Orthopaedic Group, P. C, Denver, CO

[2] Department of Orthopaedic Surgery, State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Buffalo, NY

[3] Department of Radiology, State University of New York at Buffalo, School of Medicine and Biomedical Sciences, Buffalo, NY

来源：

JOURNAL OF SPINAL DISORDERS | 1992年 / 5卷 / 04期

关键词：

DISCOGRAPHY; MRI; LUMBAR DEGENERATIVE DISK DISEASE; LUMBAR DISK HERNIATION;

D O I：

10.1097/00002517-199212000-00006

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

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).

引用

页码：417 / 423

页数：7

共 32 条

[1]

Adams M.A., Dolan P., Hutton W.C., The stages of disc degeneration as revealed by discograms, J Bone Joint Surg, 68, pp. 36-41, (1986)

[2]

Benn R.T., Wood P., Pain in the back

[3]

An attempt to esti-mate the size of the problem, Rheumatol Rehabil, 14, (1975)

[4]

Bernard T.N., Lumbar discography followed by computed tomography: Redefining the diagnosis of low-back pain, Spine, 15, pp. 690-707, (1990)

[5]

Berquist-Ullman M., Larsson U., Acute low back pain in in-dustry, Acta Orthop Scand [Suppy], (1977)

[6]

Biering-Sorenson F., A prospective study of low back pain in a general population. I. Occurrence, Recurrence and Etiology, Scand J Rehab Med, 15, pp. 71-79, (1983)

[7]

Brodsky A.E., Binder W.F., Lumbar discography. Its value in diagnosis and treatment oflumbar disc lesions, Spine, 4, pp. 110-120, (1979)

[8]

Collis H.R., An evaluation of cervical and lumbar discography, Clin Orthop Rel Res, 107, pp. 133-138, (1975)

[9]

Collis J.S., Gardner W.J., Lumbar discography. An analysis of 1000 cases, J Neurosurg, 19, pp. 452-461, (1962)

[10]

Crawshaw C., Kean D.M., Mulholland R.C., Et al., The use of nuclear magnetic resonance in the diagnosis of lateral canal entrapment, J Bone Joint Surg, 66, pp. 711-715, (1984)

← 1 2 3 4 →