Guideline update for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 6: Discography for patient selection

Update item information
Publication Type pre-print
School or College School of Medicine
Department Neurosurgery
Creator Dailey, Andrew T.
Other Author Eck, Jason C.; Sharan, Alok; Resnick, Daniel K.; Watters III, William C.; Ghogawala, Zoher; Mummaneni, Praveen V.; Groff, Michael W.; Wang, Jeffrey C.; Choudhri, Tanvir F.; Dhall, SanJay S.; Kaiser, Michael G... et.al
Title Guideline update for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 6: Discography for patient selection
Date 2014-01-01
Description Identifying the etiology of pain for patients suffering from chronic low-back pain remains problematic. Noninvasive imaging modalities, used in isolation, have not consistently provided sufficient evidence to support performance of a lumbar fusion. Provocative testing has been used as an adjunct in this assessment, either alone or in combination with other modalities, to enhance the diagnostic capabilities when evaluating patients with low-back pain. There have been a limited number of studies investigating this topic since the publication of the original guidelines. Based primarily on retrospective studies, discography, as a stand-alone test, is not recommended to formulate treatment strategies for patients with low-back pain. A single randomized cohort study demonstrated an improved potential of discoblock over discography as a predictor of success following lumbar fusion. It is therefore recommended that discoblock be considered as a diagnostic option. There is a possibility, based on a matched cohort study, that an association exists between progression of degenerative disc disease and the performance of a provocative discogram. It is therefor recommended that patients be counseled regarding this potential development prior to undergoing discography.
Type Text
Publisher American Association of Neurological Surgeons
Volume 21
Issue 1
First Page 37
Last Page 41
Language eng
Bibliographic Citation Eck, J. C., Sharan, A., Resnick, D. K., Watters III, W. C., Ghogawala, Z., Dailey, A. T., Mummaneni, P. N. V., Groff, M. W., Wang, J. C., Choudhri, T. F., Dhall, S. S., & Kaiser, M.G. (2014). Guideline update for the performance of fusion procedures for degenerative disease of the lumbar spine. Part 6: Discography for patient selection. Journal of Neurosurgery: Spine, 21(1), 37-41.
Rights Management (c) American Association of Neurological Surgeons
Format Medium application/pdf
Format Extent 974,980 bytes
Identifier uspace,18815
ARK ark:/87278/s6mk9p0n
Setname ir_uspace
Date Created 2014-08-06
Date Modified 2014-08-08
ID 712629
Reference URL https://collections.lib.utah.edu/ark:/87278/s6mk9p0n
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