Guyer R D, Ohnmeiss D D, Mason S L, Shelokov A P
Institute for Spine & Biomedical Research, Plano, Texas, USA.
J Spinal Disord. 1997 Apr;10(2):95-101.
The use of cervical discography remains controversial. Recently in a small patient group, a high complication rate was reported. The purpose of this study was to determine the incidence of complications associated with cervical discography. Data from 161 cervical discography procedures, involving 269 disc injections, were recorded. There were four complications; thus the complication rate was 2.48% based on the number of procedures and 1.49% based on the number of disc injections. The complications were two cases of discitis, one postinjection hematoma, and one patient developed significant headache pain after the disc injection. Reports of high complication rates associated with cervical discography and serious outcomes from them should serve as a warning that the procedure does have associated risks, and great care is warranted. However, based on the results of our study, discography is not an inherently unsafe procedure. It can be accomplished with few complications when performed in sterile conditions by those well experienced with cervical disc injections.
颈椎间盘造影术的应用仍存在争议。最近，在一个小患者群体中，报告了较高的并发症发生率。本研究的目的是确定与颈椎间盘造影术相关的并发症发生率。记录了161例颈椎间盘造影术的数据，涉及269次椎间盘注射。有4例并发症；因此，基于手术次数的并发症发生率为2.48%，基于椎间盘注射次数的并发症发生率为1.49%。并发症包括2例椎间盘炎、1例注射后血肿，以及1例患者在椎间盘注射后出现严重头痛。与颈椎间盘造影术相关的高并发症发生率及其严重后果的报告应作为一种警示，即该手术确实存在相关风险，需要格外谨慎。然而，根据我们的研究结果，椎间盘造影术并非本质上不安全的手术。由经验丰富的颈椎间盘注射操作人员在无菌条件下进行时，并发症很少。
