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Large
Cervical Discography Complication Study |
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AUTHORS: |
Zeidman SM; Thompson K; Ducker TB |
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AUTHOR AFFILIATION: |
Department of Neurosurgery, Johns Hopkins
University School of Medicine, Baltimore, Maryland, USA. |
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SOURCE: |
Neurosurgery 1995 Sep;37(3):414-7 |
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CITATION IDS: |
PMID: 7501104 UI: 96076419 |
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ABSTRACT: |
Despite extensive experience with diagnostic cervical disc
injection, the role of this procedure in the evaluation of patients
with degenerative disc disease and severe neck pain remains
controversial. Beyond the debate regarding its efficacy in
identifying the site of cervical symptomatology and directing
appropriate intervention are the potential morbidity and mortality
associated with this diagnostic procedure. Discitis, subdural
empyema, spinal cord injury, vascular injury, and prevertebral
abscess have all been reported as complications of diagnostic
cervical disc injection. Any meaningful assessment of the role of
cervical discography in the evaluation of degenerative disc disease
must include a determination of the risks inherent in the procedure.
We retrospectively analyzed 4400 cervical disc injections in 1357
patients performed by an experienced radiologist between 1988 and
1993 to define the morbidity and mortality associated with
discography. In addition, we reviewed the extant medical literature
on the complications of this controversial procedure. This study
demonstrates significant complications from diagnostic discography
procedures occurring in less than 0.6% of the patients and 0.16% of
the cervical disc injections. |
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MAIN MESH HEADINGS: |
Cervical Vertebrae/*radiography
Discitis/*radiography
Intervertebral Disk/*radiography |
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ADDITIONAL MESH HEADINGS: |
Abscess/etiology
Adult
Aged
Female
Human
Magnetic Resonance Imaging
Male
Middle Age
Osteomyelitis/etiology
Retrospective Studies
Risk Factors
Staphylococcal Infections/etiology
Staphylococcus epidermidis
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PUBLICATION TYPES: |
JOURNAL ARTICLE
REVIEW
REVIEW, TUTORIAL
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