Abstract
Lumbar discography is commonly performed when discogenic pain or disc disruption comes into question as a source of low back pain. This chapter provides a step-by-step guide on how to perform this intervention safely and shows all the relevant C-arm and needle positions that need to be demonstrated during the Fellow of Interventional Pain Practice (FIPP) exam administered by the World Institute of Pain (WIP). Both native and edited high-quality images are included, so the fluoroscopy anatomy is more easily understood.
Possible complications of the procedures and common reasons for failure at the FIPP exam are also outlined. Evidence for the procedure is provided based on the available literature reviewed by the Benelux section of WIP and also by the American Society of Interventional Pain Physicians (ASIPP).
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Bogduk N. Lumbar disk stimulation (provocation discography). In: Practice guidelines for spinal diagnostic and treatment procedures. San Francisco: International Spine Intervention Society; 2004. p. 20–46.
Carragee EJ, Don AS, Hurwitz EL, et al. ISSLS prize winner: Does discography cause accelerated progression of degeneration changes in the lumbar disc. Spine. 2009;34(21):2338–45.
Huygen F, et al. “Evidence-based interventional pain medicine according to clinical diagnoses”: update 2018. Pain Pract. papr. 12786. 2019; https://doi.org/10.1111/papr.12786.
Vanharanta H, Sachs BL, Spivey MA, Guyer RD, Hochschuler SH, Rashbaum RF, Johnson RG, Ohnmeiss D, Mooney V. The relationship of pain provocation to lumbar disc deterioration as seen by CT/discography. Spine (Phila Pa 1976). 1987;12(3):295–8.
Raj PP. Intervertebral Disc: Anatomy-Physiology-Pathophysiology-Treatment. Pain Pract. 2008;8(1):18–44.
Brinjikji W, Luetmer PH, Comstock B, Bresnahan BW, Chen LE, Deyo RA, Halabi S, Turner JA, Avins AL, James K, Wald JT, Kallmes DF, and Jarvik JG. Systematic literature review of imaging features of spinal degeneration in asymptomatic populations. Am J Neuroradiol. 2015;36(4):811–6.
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The Lumbar Discography chapter was reviewed by Micha Sommer; Andrea M. Trescot; Milan Stojanovic; Peter S. Staats; Agnes R. Stogicza; Andre M. Mansano; Massimo Barbieri
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Hernández-Porras, C.B. (2020). Lumbar Discography. In: Stogicza, A.R., Mansano, A.M., Trescot, A.M., Staats, P.S. (eds) Interventional Pain . Springer, Cham. https://doi.org/10.1007/978-3-030-31741-6_20
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DOI: https://doi.org/10.1007/978-3-030-31741-6_20
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