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J Bone Joint Surg Br · Mar 1988
Provocation discography as a guide to planning operations on the spine.
- E Colhoun, I W McCall, L Williams, and V N Cassar Pullicino.
- Robert Jones & Agnes Hunt Orthopaedic Hospital, Oswestry, England.
- J Bone Joint Surg Br. 1988 Mar 1;70(2):267-71.
AbstractIn a prospective study we attempted to define the role of lumbar discography in the investigation of patients with low back pain with or without non-dermatomal pain in the lower limb. The records of 195 patients were studied at least two years after a technically successful operation. Of 137 patients in whom discography had revealed disc disease and provoked symptoms, 89% derived significant and sustained clinical benefit from operation. Of 25 patients whose discs showed morphological abnormality but had no provocation of symptoms on discography only 52% had clinical success. These findings support the continued use of lumbar discography for the investigation of this particular group of patients.
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