Pressure standardized lumbar discography

Quinnell, R. C.; Stockdale, H. R.; Harmon, Bryce

doi:10.1259/0007-1285-53-635-1031

Cited by 19 publications

(5 citation statements)

References 7 publications

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“…The problem of injecting a fixed amount of contrast medium regardless of the degree of deterioration of the disk has also been addressed by other authors (31,33). Like us, some injected a larger volume in the more degenerated disks (33).…”

Section: Discussionmentioning

confidence: 76%

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CT-Diskography in Patients with Sciatica

Dullerud

Johansen

1995

Acta Radiol

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Section: Discussionmentioning

confidence: 76%

“…It is explained by filling of a false cavity without opacification of the major part of the nucleus, which represents the true nuclear cavity. This problem can be reduced by the use of a multi-hole needle (30,31).…”

Section: Discussionmentioning

confidence: 99%

CT-Diskography in Patients with Sciatica

Dullerud

Johansen

1995

Acta Radiol

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“…Instead of a classification of pressure patters [26] correlated with artefactsusceptible [27,42] discograms [7,8], we propose welldefined threshold values [e.g. 585 mmHg at 45 s[ that indicate severe histological changes (this value equals the median of the 45-s pressures normal distribution; below that limit the corresponding score values were significantly higher than above, as already mentioned).…”

Section: Discussionmentioning

confidence: 99%

Degeneration model of the porcine lumbar motion segment: effects of various intradiscal procedures

et al. 1994

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In an experimental study with 18 minipigs, we have tried to establish a model for the standardized evaluation of mechanical, histological and radiological phenomena of degenerative and reparative processes within the lumbar motion segment. Comparing different operative techniques revealed that the intradiscal application of hyaluronic acid into the nuclear defect is likely to enhance the regeneration process. Using the measurement of disc compliance, a semiautomatic picture analyzer and a new semiquantitative disc score could make future studies more comparable. From this basis, the intradiscal application of hyaluronic acid deserves further evaluation.

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“…which increase the intra-discal pressure ( 105 , 106 ). The pressures are measured at the tip of the needle ( 107 ) to reflect the inherent pressure within the disc (opening pressure), pressure when pain is felt (pain pressure), maximum pressure generated (maximum pressure) and the amount of pain felt (usually a numeric rating pain scale) by the patient as well as the total amount of contrast injected ( 108 ). Along with the intensity of pain, the concordance of pain is also considered as an important parameter.…”

Section: Interventionsmentioning

confidence: 99%

Interventional Therapies for Chronic Low Back Pain: A Focused Review (Efficacy and Outcomes)

Patel¹,

Wasserman

Imani

2015

Anesth Pain Med

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Context:Lower back pain is considered to be one of the most common complaints that brings a patient to a pain specialist. Several modalities in interventional pain management are known to be helpful to a patient with chronic low back pain. Proper diagnosis is required for appropriate intervention to provide optimal benefits. From simple trigger point injections for muscular pain to a highly complex intervention such as a spinal cord stimulator are very effective if chosen properly. The aim of this article is to provide the reader with a comprehensive reading for treatment of lower back pain using interventional modalities.Evidence Acquisition:Extensive search for published literature was carried out online using PubMed, Cochrane database and Embase for the material used in this manuscript. This article describes the most common modalities available to an interventional pain physician along with the most relevant current and past references for the treatment of lower back pain. All the graphics and images were prepared by and belong to the author.Results:This review article describes the most common modalities available to an interventional pain physician along with the most relevant current and past references for the treatment of lower back pain. All the graphics and images belong to the author. Although it is beyond the scope of this review article to include a very detailed description of each procedure along with complete references, a sincere attempt has been made to comprehensively cover this very complex and perplexing topic.Conclusion:Lower back pain is a major healthcare issue and this review article will help educate the pain practitioners about the current evidence based treatment options.

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Pressure standardized lumbar discography

Cited by 19 publications

References 7 publications

CT-Diskography in Patients with Sciatica

CT-Diskography in Patients with Sciatica

Degeneration model of the porcine lumbar motion segment: effects of various intradiscal procedures

Interventional Therapies for Chronic Low Back Pain: A Focused Review (Efficacy and Outcomes)

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