Institute for Pain Diagnostics and Care, Ohio Valley General Hospital, 500 Pine Hollow Road, McKees Rocks, PA 15136, USA.
Curr Pain Headache Rep. 2012 Feb;16(1):26-34. doi: 10.1007/s11916-011-0239-6.
The diagnosis and treatment of discogenic back pain is challenging. Provocation discography, an invasive spinal procedure, has been suggested as a diagnostic test for internal disc disruption to provide information on disc morphology and reproduction of symptoms. Current applications consist of the evaluation of persistent spinal pain in individuals, including postoperative patients, as well as providing a guide for patient selection for spinal fusion surgery and minimally invasive interventional pain procedures. While the validity of discography has been questioned by multiple scientific studies, technical refinements have addressed many of the initial limitations. An updated review on the safety and utility of discography will be provided, covering key areas of debate including false-positive rates, technical parameters, clinical utility, and risk of discography procedural-related intervertebral disc damage.
椎间盘源性腰痛的诊断和治疗具有挑战性。激惹性椎间盘造影术是一种有创的脊柱检查方法，被认为是一种诊断内部椎间盘破裂的方法，可以提供椎间盘形态和症状再现的信息。目前的应用包括对包括术后患者在内的持续性脊柱疼痛患者进行评估，以及为脊柱融合手术和微创介入性疼痛治疗提供患者选择的指导。尽管椎间盘造影术的有效性受到多项科学研究的质疑，但技术上的改进已经解决了许多最初的局限性。本文将对椎间盘造影术的安全性和实用性进行更新，涵盖了包括假阳性率、技术参数、临床实用性和椎间盘造影术相关椎间盘损伤的风险等关键争议领域。
