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- H Vanharanta, R D Guyer, D D Ohnmeiss, W J Stith, B L Sachs, C Aprill, M Spivey, R F Rashbaum, S H Hochschuler, and T Videman.
- Texas Back Institute Research Foundation, Plano.
- Spine. 1988 Dec 1; 13 (12): 1349-51.
AbstractDisc deterioration and pain provocation in different low-back pain syndromes was studied using computed tomography (CT) discography. Data were prospectively collected for 300 patients (816 discs). Patients were classified by their pre-discography diagnosis of disc herniation (DH), degenerated disc (DD), lumbar syndrome (LS), lumbar radicular syndrome (LRS), or other. The CT/discograms were classified by discographic pain response, the amount of degeneration and annular disruption. Eighty-two percent of DH patients, 80% of DD, 56% of LS, and 59% of LRS patients had both positive discographic pain provocation and moderate or severe disc deterioration. The study indicates that intradiscal pathology plays a major role in nonspecific low-back pain syndromes.
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