Diskography: infectious complications from a series of 12,634 cases

R S Pobiel1, K P Schellhas, S R Pollei

  • 1Center for Diagnostic Imaging, St. Louis Park, MN 55416, USA. rpobiel@cdirad.com

Abstract

Insights

Diskography is a safe procedure for diagnosing diskogenic pain. This study found a very low incidence of diskitis (infection) following diskography, highlighting the importance of experienced practitioners and proper technique.

Area of Science:

  • Spine imaging and interventional radiology
  • Infectious disease complications in procedures

Background:

  • Diskography is a common diagnostic tool for diskogenic pain.
  • Diskitis is a rare but serious complication of diskography.
  • Understanding infection rates is crucial for patient safety.

Purpose of the Study:

  • To determine the incidence of diskitis and infectious complications after diskography.
  • To identify technical factors influencing infection prevention.

Main Methods:

  • Retrospective review of 12,634 diskograms over 12.25 years.
  • Analysis of procedure-related infections in an outpatient setting.
  • Data collected by experienced radiologists in specialized suites.

Main Results:

  • Two cases of lumbar diskitis were identified out of 37,135 disk levels.
  • No cervical or thoracic diskitis occurred.
  • The overall incidence of diskitis was 0.016% per examination and 0.0054% per disk level.

Conclusions:

  • Diskography is a safe outpatient procedure when performed by experienced physicians.
  • Proper technique significantly minimizes the risk of diskitis and infection.
  • The incidence of diskitis following diskography is extremely low.

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