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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
Background And Purpose:
Diskography is commonly performed to investigate pain of suspected diskogenic origin. Although uncommon, diskitis is a feared complication of this procedure. We reviewed the incidence of diskitis and other infectious complications following diskography in a large busy outpatient practice and discuss technical aspects that may contribute to infection prevention.
Methods:
We reviewed the electronic records of all diskograms obtained at our institution during a 12.25-year period, looking for all cases of procedure-related infection. All diskograms had been obtained by skilled and experienced procedural radiologists in dedicated spine-injection suites with specialized technical staff.
Results:
There were 12,634 examinations performed on 10,663 patients for a total of 37,135 disk levels. Of the disk levels, 5981 were cervical; 3083, thoracic; and 28,071, lumbar. Two cases of confirmed lumbar diskitis and no cases of either cervical or thoracic diskitis were seen in our series. No other infectious complications were found. The incidence of diskitis was 0.016% per examination and 0.0054% per disk level.
Conclusion:
In skilled and experienced hands using proper technique, diskography is a safe outpatient procedure with an extremely low incidence of diskitis and other procedure-related infections.
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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