Kikuchi S, Macnab I, Moreau P
J Bone Joint Surg Br. 1981 Aug;63-B(2):272-7. doi: 10.1302/0301-620X.63B2.7217155.
There are many difficulties associated with the localisation of the symptomatic segment in patients presenting with cervicobrachial pain with no evidence of impaired conduction in the nerve root. Ancillary radiological investigations such as myelography, epidural phlebography, and epidural myelograms are of unreliable diagnostic value. However, discography can be of value if the technique described here is used. Infiltration of the cervical nerve root with local anaesthetic has also proved useful in the localisation of the symptomatic segment. The techniques used in cervical discography and infiltration of the nerve root are described and their reliability is assessed.
对于那些表现为颈臂痛但神经根传导无受损证据的患者，确定症状节段存在诸多困难。诸如脊髓造影、硬膜外静脉造影和硬膜外脊髓造影等辅助放射学检查的诊断价值不可靠。然而，如果采用此处所述技术，椎间盘造影可能具有价值。用局部麻醉药对颈神经根进行浸润在确定症状节段方面也已证明是有用的。本文描述了颈椎间盘造影和神经根浸润所采用的技术，并评估了它们的可靠性。
