European Spine Journal

, Volume 18, Issue 7, pp 1035–1040 | Cite as

Diagnosis and surgical treatment of back pain originating from endplate

  • Baogan Peng
  • Jindong Chen
  • Zengda Kuang
  • Duanming Li
  • Xiaodong Pang
  • Xinyu Zhang
Original Article


Twenty-one patients with back pain originating from the endplate injuries were selected to explore the methods of diagnosis and surgical treatment. All patients underwent examinations using radiography, CT, and MR imaging. Pain level of disc was determined through discography in each patient. The principal outcome judgments were pain and disability, and the efficacy of surgical treatment was assessed through the use of the visual analog scale (VAS) for pain and the Oswestry disability index (ODI) for functional recovery. All 21 patients with a diagnosis of back pain originating from endplate injuries according to discography were treated with anterior or posterior fusion surgery. The mean follow-up period was 3 years and 5 months (range, 2–6 years). Of the 21 patients, 20 (20/21) reported a disappearance or marked alleviation of low back pain and experienced a definite improvement in physical function. Statistically significant and clinically meaningful improvements in the VAS and ODI scores were obtained after treatment in the patients with chronic low back pain originating from the endplate injuries (P = 0.0001). The study suggests that discography and fusion surgery may be very effective methods for the diagnosis and treatment, respectively, of chronic back pain originating from the endplate injuries.


Back pain Endplate Schmorl’s node Discography Fusion surgery 



Supported by the Foundation of capital medical development, Beijing, China. The funding sources had no involvement or influence in the preparation of the manuscript.


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Copyright information

© Springer-Verlag 2009

Authors and Affiliations

  • Baogan Peng
    • 1
  • Jindong Chen
    • 1
  • Zengda Kuang
    • 1
  • Duanming Li
    • 1
  • Xiaodong Pang
    • 1
  • Xinyu Zhang
    • 1
  1. 1.Department of Spinal Surgery, Institute of Spinal SurgeryGeneral Hospital of Armed Police ForceBeijingPeople’s Republic of China

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