Discography and Postdiscographic CT (Disco-CT) in Percutaneous Discectomy

  • M. Lutze
  • H. M. Mayer

Abstract

The improvement in radiological diagnosis of lumbar disc disease achieved by the development of spinal computerized tomography and by quantitative magnetic resonance imaging has increased the reliability of patient selection for percutaneous discectomy.

Keywords

Peri Perforation Spondylosis Metrizamide Chymopapain 

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Abdelwahab IF, Gould ES (1988) The role of discography after negative postmyelography CT scans. AJNR 9:187–190PubMedGoogle Scholar
  2. 2.
    Angtuaco EJC et al. (1984) Computed tomographic discography in the evaluation of extreme lateral disc herniation. Neurosurgery 14:350–352PubMedCrossRefGoogle Scholar
  3. 3.
    Brock M, Mayer HM, Gorge HH (1984) Die Chemonukleolyse mit Chymopapain. Deutsches Ärzteblatt 81:2965–2970Google Scholar
  4. 4.
    Edwards WC, Orme IT, Orr-Edwards G (1987) CT discography: Prognostic value in the selection of patients for chemonucleolysis. Spine 12/8:792–795PubMedCrossRefGoogle Scholar
  5. 5.
    Gibson MJ et al. (1986) Magnetic resonance imaging and discography in the diagnosis of disc degeneration. J Bone Joint Surg 68–13:369–373Google Scholar
  6. 6.
    Grubb SA, Lipscomb HJ, Guilford WB (1987) The relative value of lumbar roentgenograms, metrizamide myelography, and discography in the assessment of patients with chronic low-back syndrome. Spine 12/3:282–286PubMedCrossRefGoogle Scholar
  7. 7.
    Hijikata SA (1975) A method of percutaneous nuclear extraction. J X Toden Hospital 5:39Google Scholar
  8. 8.
    Holt EP (1968) The question of lumbar discography. J Bone Joint Surg 50-A: 720–726Google Scholar
  9. 9.
    Hsu KI et al. (1988) Painful lumbar end-plate disruptions: A significant discographic finding. Spine 13/1:76–78PubMedCrossRefGoogle Scholar
  10. 10.
    Jackson RP, Glah II (1987) Foraminal and extraforaminal lumbar disc herniation: Diagnosis and treatment. Spine 12/6:577–585PubMedCrossRefGoogle Scholar
  11. 11.
    Kambin P, Gellmann H (1983) Percutaneous lateral discectomy of the lumbar spine. Clin Orth Rel Res 174:127–132Google Scholar
  12. 12.
    Kornberg M (1987) Computed tomography of the lumbar spine following discography. Spine 12/8:823–825PubMedCrossRefGoogle Scholar
  13. 13.
    Lindblom K (1948) Diagnostic puncture of intervertebral disc in sciatica. Acta Orthop Scand 17:231–239PubMedCrossRefGoogle Scholar
  14. 14.
    Mayer HM, Brock M (1988) Die perkutane Diskektomie. Dtsch Ärzteblatt 85:853–858Google Scholar
  15. 15.
    McCutcheon ME, Thompson III WC (1986) CT scanning of lumbar discography. Spine 11/3:257–259PubMedCrossRefGoogle Scholar
  16. 16.
    Modic MT et al. (1988) Imaging of degenerative disc disease. Radiology 168:177–186PubMedGoogle Scholar
  17. 17.
    Sachs BL et al. (1987) Dallas discogram description. A new classification of CT/discography in low-back disorders. Spine 12/3:287–294PubMedCrossRefGoogle Scholar
  18. 18.
    Schleberger R, Kolditz D, Krämer I (1985) Der Stellenwert der Diskographie bei lumbaler Bandscheibenlockerung. Orthop Praxis 4:296–299Google Scholar
  19. 19.
    Schneidermann G et al. (1987) Magnetic resonance imaging in the diagnosis of disc degeneration: Correlation with discography. Spine 12/3:276–281CrossRefGoogle Scholar
  20. 20.
    Shapiro R (1986) Current status of lumbar discography. Radiology 159/3:815PubMedGoogle Scholar
  21. 21.
    Troisier O, Cypel D (1986) Discography: An element of decision. Surgery versus chemonucleolysis. Clin Orth Rel Res 206:70–78Google Scholar
  22. 22.
    Vanharanta H et al. (1987) The relationship of pain provocation to lumbar disc deterioriation as seen by CT/discography. Spine 12/3:295–298PubMedCrossRefGoogle Scholar
  23. 23.
    Vanharanta H et al. (1988) A comparison of CT/discography, pain response and radiographic disc height. Spine 13/3:321–324PubMedCrossRefGoogle Scholar
  24. 24.
    Videman T, Malmivaara A, Mooney V (1987) The value of the axial view in assessing discograms. Spine 12/3:299–304PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1989

Authors and Affiliations

  • M. Lutze
  • H. M. Mayer
    • 1
  1. 1.Abteilung für Neurochirurgie, Klinikum SteglitzFreie Universität, BerlinBerlin 45Germany

Personalised recommendations