Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Awake discography. A comparison study with magnetic resonance imaging.

J W Simmons1, S F Emery, J N McMillin

  • 1Alamo Bone & Joint Clinic, San Antonio, Texas.

Spine
|June 1, 1991
PubMed
Summary

Awake discography and magnetic resonance imaging (MRI) show moderate correlation in evaluating symptomatic lumbar disc disease. Discography is the only dynamic test, crucial for identifying which abnormal discs cause pain.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Acute traumatic coagulopathy: pathophysiology and resuscitation.

British journal of anaesthesia·2016
Same author

Letters to the editor.

Orthopedics·2014
Same author

The back school: a total back management program.

Orthopedics·2014
Same author

Calculation of disability using the cybex ii system.

Orthopedics·2014
Same author

Type 2 diabetes is associated with vertebral fractures in a sample of clinic- and hospital-based Latinos.

Journal of immigrant and minority health·2013
Same author

Forty years of medicine.

Journal of the Medical Association of Georgia·2010

Area of Science:

  • Spine surgery
  • Radiology
  • Pain management

Background:

  • Symptomatic lumbar disc disease often presents with chronic low-back pain.
  • Patients typically fail conservative treatments before surgical evaluation.
  • Accurate diagnostic tools are essential for targeted treatment.

Purpose of the Study:

  • To determine the correlation between awake discography and magnetic resonance imaging (MRI) findings.
  • To evaluate the diagnostic utility of each modality in symptomatic lumbar disc disease.

Main Methods:

  • 164 patients with symptomatic lumbar disc disease underwent both MRI and awake discography.
  • MRI was performed before discography.
  • Discography used a lateral approach under local anesthesia and minimal sedation.

Related Experiment Videos

Main Results:

  • Overall correlation between MRI and discography was 55% (90/164 patients).
  • At the disc level, correlation was 80% (371/463 discs).
  • Discography identified symptomatic discs (151/199 abnormal discs) that MRI did not, and asymptomatic abnormal discs on MRI (108/297 abnormal discs).

Conclusions:

  • MRI and discography show moderate agreement in evaluating lumbar disc disease.
  • Awake discography is a valuable dynamic tool to identify symptomatic discs.
  • Discography provides crucial functional information beyond static MRI findings.