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Complications of cervical discography: findings in a large series. |
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AUTHORS: |
Guyer RD; Ohnmeiss DD; Mason SL; Shelokov AP |
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AUTHOR AFFILIATION: |
Institute for Spine & Biomedical Research,
Plano, Texas, USA. |
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SOURCE: |
J Spinal Disord 1997 Apr;10(2):95-101 |
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CITATION IDS: |
PMID: 9113607 UI: 97268356 |
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ABSTRACT: |
The use of cervical discography remains controversial. Recently in a
small patient group, a high complication rate was reported. The
purpose of this study was to determine the incidence of
complications associated with cervical discography. Data from 161
cervical discography procedures, involving 269 disc injections, were
recorded. There were four complications; thus the complication rate
was 2.48% based on the number of procedures and 1.49% based on the
number of disc injections. The complications were two cases of
discitis, one postinjection hematoma, and one patient developed
significant headache pain after the disc injection. Reports of high
complication rates associated with cervical discography and serious
outcomes from them should serve as a warning that the procedure does
have associated risks, and great care is warranted. However, based
on the results of our study, discography is not an inherently unsafe
procedure. It can be accomplished with few complications when
performed in sterile conditions by those well experienced with
cervical disc injections. |
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MAIN MESH HEADINGS: |
Discitis/*etiology
Discitis/*radiography
Intervertebral Disk/*radiography |
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ADDITIONAL MESH HEADINGS: |
Adult
Aged
Female
Headache/etiology
Hematoma/etiology
Human
Magnetic Resonance Imaging
Male
Middle Age
Support, Non-U.S. Gov't
Tomography, X-Ray Computed
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PUBLICATION TYPES: |
JOURNAL ARTICLE
REVIEW
REVIEW LITERATURE
REVIEW OF REPORTED CASES
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