Vanharanta H, Sachs B L, Spivey M A, Guyer R D, Hochschuler S H, Rashbaum R F, Johnson R G, Ohnmeiss D, Mooney V
Spine (Phila Pa 1976). 1987 Apr;12(3):295-8. doi: 10.1097/00007632-198704000-00019.
The CT/discographic findings from 225 discs in 91 low-back pain patients were compared to the pain provocation during the injection of contrast into the disc. The radiographic appearance of disc deterioration demonstrating disc degeneration and annular disruption of each disc was classified separately using a fourpoint scale: normal, slight, moderate, or severe. Pain reaction to the discogram at each level was recorded as follows: no pain, dissimilar pain, similar pain, or exact reproduction of the patient's clinical pain. This more precise analysis demonstrated a significant relationship between pain and deterioration of discs. The CT/discogram presents an axial view of the disc that allows a subgrouping of disc deterioration that can discriminate between peripheral deterioration (degeneration) and internal deterioration (disruption). The disruption supposedly occurs earlier and is more likely to be the source of exact pain reproduction.
对91名腰痛患者的225个椎间盘的CT/椎间盘造影结果与向椎间盘注射造影剂时的疼痛激发情况进行了比较。使用四点量表分别对显示每个椎间盘退变和纤维环破裂的椎间盘退变的影像学表现进行分类：正常、轻度、中度或重度。每个节段椎间盘造影的疼痛反应记录如下：无疼痛、不同疼痛、相似疼痛或确切再现患者的临床疼痛。这种更精确的分析表明疼痛与椎间盘退变之间存在显著关系。CT/椎间盘造影提供了椎间盘的轴向视图，允许对椎间盘退变进行亚组划分，从而能够区分外周退变（变性）和内部退变（破裂）。据推测，破裂发生得更早，更有可能是确切疼痛再现的来源。
