Conclusion

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Discography has become an indispensable assessment tool to evaluate pain of spinal origin; no longer is it reserved for those who are fusion candidates. With the continuous evolution of spinal interventions and the growing recognition of discogenic pain as a major clinical problem, the demand for this procedure is certain to increase. Our experience has been that when discography is performed with appropriate clinical indication(s) by skilled, knowledgeable, and experienced procedu-ralists, it leads to improved clinical outcomes. Discography is a procedure ideally suited for interventional neuroradiologists, especially those who also interpret spinal imaging studies.

References

1. Aprill C, Bogduk N. High-intensity zone: a diagnostic sign of painful lumbar disc on magnetic resonance imaging. Br J Radiol 65:361, 1991.

2. Boden SD, Davis DO, Dina TS, et al. Abnormal magnetic-resonance scans of the lumbar spine in asymptomatic subjects: a prospective investigation. J Bone Joint Surg (Am) 72:403, 1990.

3. Braithwaite I, White J, Saifuddin A, et al. Vertebral end-plate (Modic) changes on lumbar spine MRI: correlation with pain reproduction at lumbar discography. Eur Spine J 7:363, 1998.

4. Brightbill TC, Pile N, Eichelberger RP, et al. Normal magnetic resonance imaging and abnormal discography in lumbar disc disruption. Spine 19: 1075, 1994.

5. Buirski G, Silberstein M. The symptomatic lumbar disc in patients with low-back pain: magnetic resonance imaging appearances in both symptomatic and control population. Spine 18:1808, 1993.

6. Heithoff KB, Gundry CR, Burton CV, et al. Juvenile discogenic disease. Spine 19:335, 1994.

7. Ito M, Incorvaia KM, Yu SF, et al. Predictive signs of discogenic lumbar pain on magnetic resonance imaging with discography correlation. Spine 23:1252, 1998.

8. Jensen MC, Brant-Zawadski MN, Obuchowski N, et al. Magnetic resonance imaging of the lumbar spine with people without back pain. N Engl J Med 331:69, 1994.

9. Milette PC, Fontaine S, Lepanto L, et al. Differentiating lumbar disc protrusions, disc bulges, and discs with normal contour but abnormal signal intensity. Magnetic resonance imaging with discographic correlations. Spine 24:44, 1999.

10. Parfenchuck TA, Janssen ME. A correlation of cervical magnetic resonance imaging and discography/computed tomographic discograms. Spine 19:2819, 1994.

11. Saifuddin A, Braithwaite I, White J, et al. The value of lumbar spine magnetic resonance imaging in the demonstration of annular tears. Spine 23:453, 1998.

12. Schellhas KP: Discography. In: Jensen ME, ed. Spine Interventions (Neu-roimaging Clinics of North America). Vol 10. Philadelphia: WB Saunders; 2000:579.

13. Schellhas KP: Discography. In: Lee RR, ed. Spinal Imaging (SPINE: State of the Art Reviews, vol 9, no 1). Philadelphia: Hanley & Belfus; 1995:27.

14. Schellhas KP, Pollei SR. The role of discography in the evaluation of patients with spinal deformity. Orthop Clin North Am 25:265, 1994.

15. Schellhas KP, Pollei SR, Dorwart RH. Thoracic discography: a safe and reliable technique. Spine 19:2103, 1994.

16. Schellhas KP, Pollei SR, Gundry CR, et al. Lumbar disc high-intensity zone: correlation of magnetic resonance imaging and discography. Spine 21:79, 1996.

17. Schellhas KP, Smith MD, Gundry CR, et al. Cervical discogenic pain: prospective correlation of magnetic resonance imaging and discography in asymptomatic subjects and pain sufferers. Spine 21:300, 1996.

18. Schellhas KP, Garvey TA, Johnson BA, et al: Cervical diskography: analysis of provoked responses at C2-C3, C3-C4, and C4-C5. AJNR Am J Neu-roradiol 21:269, 2000.

19. Smith BM, Hurwitz EL, Solsberg D, et al. Interobserver reliability of detecting lumbar intervertebral disc high-intensity zone on magnetic reso nance imaging and association of high-intensity zone with pain and annular disruption. Spine 23:2074, 1998.

20. Weishaupt D, Zanetti M, Hodler J, et al. Painful lumbar disc derangement: relevance of endplate abnormalities at MR imaging. Radiology 218(2):420, 2001.

21. Whitecloud TS, Seago RA. Cervical discogenic syndrome: results of operative intervention in patients with positive discography. Spine 12:313,

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