Osler G E
S Afr Med J. 1987 Mar 21;71(6):363.
The cervical discogenic (painful disc) syndrome consists of scapular pain radiating to the head, shoulder and upper arm, often associated with paraesthesiae but without neurological deficit. Analgesic discography confirms the diagnosis and more accurately locates the pain-producing disc. In this series of patients analgesic discography followed by anterior cervical fusion with or without discectomy resulted in an 81% excellent or good result. Analgesic discography is the most effective test for location of the lesion in the painful disc syndrome.
颈椎间盘源性（疼痛性椎间盘）综合征表现为肩胛部疼痛放射至头部、肩部和上臂，常伴有感觉异常，但无神经功能缺损。诊断性椎间盘造影可确诊并更准确地定位产生疼痛的椎间盘。在这组患者中，诊断性椎间盘造影后行前路颈椎融合术（伴或不伴椎间盘切除术），结果显示81%的患者效果为优或良。诊断性椎间盘造影是定位疼痛性椎间盘综合征中病变部位最有效的检查方法。
