Progress in Discography

Overview

Journal Spine Surg Relat Res

Date 2023 Apr 12

PMID 37041872

Authors

Yang Chen

Zhichao Gao

Affiliations

Soon will be listed here.

Abstract

Discography is an important method for diagnosing discogenic low back pain (LBP) and replicating the effects of pain. However, its development is not smooth due to its safety and reliability, which have not been completely confirmed. Beginning with the clinicians using discography, there remains constant controversy. With the continuous progress of related research on discography, clinicians and scholars' understanding of discography is constantly improving. This article reviews the background, clinical application, and safety of discography.

References

Boswell M, Trescot A, Datta S, Schultz D, Hansen H, Abdi S . Interventional techniques: evidence-based practice guidelines in the management of chronic spinal pain. Pain Physician. 2007; 10(1):7-111. View

An G, Guan Y, Wan R, Wei T, Shi X, Liu J . Pathomechanism of Lower-level Discogenic Groin Pain and Clinical Outcomes of Percutaneous Endoscopic Discectomy for the Treatment of Discogenic Groin Pain. Pain Physician. 2021; 24(3):E289-E297. View

Elliott D, Yerramalli C, Beckstein J, Boxberger J, Johannessen W, Vresilovic E . The effect of relative needle diameter in puncture and sham injection animal models of degeneration. Spine (Phila Pa 1976). 2008; 33(6):588-96. DOI: 10.1097/BRS.0b013e318166e0a2. View

Engel A, Stojanovic M, Vorobeychik Y, MacVicar J . High-pressure discography may injure discs. Spine J. 2017; 17(4):612-613. DOI: 10.1016/j.spinee.2016.06.024. View

Jinkins J, Whittemore A, Bradley W . The anatomic basis of vertebrogenic pain and the autonomic syndrome associated with lumbar disk extrusion. AJR Am J Roentgenol. 1989; 152(6):1277-89. DOI: 10.2214/ajr.152.6.1277. View

Xi M, Tong H, Fahim D, Perez-Cruet M . Using Provocative Discography and Computed Tomography to Select Patients with Refractory Discogenic Low Back Pain for Lumbar Fusion Surgery. Cureus. 2016; 8(2):e514. PMC: 4807919. DOI: 10.7759/cureus.514. View

Guyer R, Ohnmeiss D . Lumbar discography. Spine J. 2003; 3(3 Suppl):11S-27S. DOI: 10.1016/s1529-9430(02)00563-6. View

Guyer R, Ohnmeiss D . Lumbar discography. Position statement from the North American Spine Society Diagnostic and Therapeutic Committee. Spine (Phila Pa 1976). 1995; 20(18):2048-59. View

Sivan S, Wachtel E, Roughley P . Structure, function, aging and turnover of aggrecan in the intervertebral disc. Biochim Biophys Acta. 2014; 1840(10):3181-9. DOI: 10.1016/j.bbagen.2014.07.013. View

10.

Matsumoto T, Toyoda H, Terai H, Dohzono S, Hori Y, Nakamura H . Utility of Discography as a Preoperative Diagnostic Tool for Intradural Lumbar Disc Herniation. Asian Spine J. 2016; 10(4):771-5. PMC: 4995264. DOI: 10.4184/asj.2016.10.4.771. View

11.

Kallewaard J, Geurts J, Terheggen M, Terwiel C, Kessels A, van Kleef M . No Transfer of Pressure to Adjacent Discs During Human Low-Pressure Controlled Discography: A Prospective Clinical Study. Pain Med. 2017; 19(1):29-39. DOI: 10.1093/pm/pnx039. View

12.

Takano M, Hikata T, Nishimura S, Kamata M . Discography aids definitive diagnosis of posterior epidural migration of lumbar disc fragments: case report and literature review. BMC Musculoskelet Disord. 2017; 18(1):151. PMC: 5387358. DOI: 10.1186/s12891-017-1516-2. View

13.

Cox L, van Donkelaar C, van Rietbergen B, Emans P, Ito K . Decreased bone tissue mineralization can partly explain subchondral sclerosis observed in osteoarthritis. Bone. 2012; 50(5):1152-61. DOI: 10.1016/j.bone.2012.01.024. View

14.

Kim B, Concannon T, Barboza L, Khan T . The Role of Diagnostic Injections in Spinal Disorders: A Narrative Review. Diagnostics (Basel). 2021; 11(12). PMC: 8700513. DOI: 10.3390/diagnostics11122311. View

15.

Nakamura S, Takahashi K, Takahashi Y, Morinaga T, Shimada Y, Moriya H . Origin of nerves supplying the posterior portion of lumbar intervertebral discs in rats. Spine (Phila Pa 1976). 1996; 21(8):917-24. DOI: 10.1097/00007632-199604150-00003. View

16.

Adams M, Roughley P . What is intervertebral disc degeneration, and what causes it?. Spine (Phila Pa 1976). 2006; 31(18):2151-61. DOI: 10.1097/01.brs.0000231761.73859.2c. View

17.

Lawson L, Harfe B . Developmental mechanisms of intervertebral disc and vertebral column formation. Wiley Interdiscip Rev Dev Biol. 2017; 6(6). DOI: 10.1002/wdev.283. View

18.

Alamin T, Kim M, Agarwal V . Provocative lumbar discography versus functional anesthetic discography: a comparison of the results of two different diagnostic techniques in 52 patients with chronic low back pain. Spine J. 2011; 11(8):756-65. DOI: 10.1016/j.spinee.2011.07.021. View

19.

Wolfer L, Derby R, Lee J, Lee S . Systematic review of lumbar provocation discography in asymptomatic subjects with a meta-analysis of false-positive rates. Pain Physician. 2008; 11(4):513-38. View

20.

Wang J, Mansfield J, Brasselet S, Vergari C, Meakin J, Winlove C . Micro-mechanical damage of needle puncture on bovine annulus fibrosus fibrils studied using polarization-resolved Second Harmonic Generation(P-SHG) microscopy. J Mech Behav Biomed Mater. 2021; 118:104458. DOI: 10.1016/j.jmbbm.2021.104458. View