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Cervical discography complications and clinical efficacy. |
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AUTHOR AFFILIATION: |
Department of Orthopaedic Surgery, Carolinas
Medical Center, Charlotte, North Carolina. |
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SOURCE: |
Spine 1993 Oct 15;18(14):2035-8 |
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CITATION IDS: |
PMID: 8272955 UI: 94098416 |
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ABSTRACT: |
To determine the incidence and magnitude of complications of
cervical discography as well as to assess the clinical results of
operative treatment based on discographic findings, a series of 31
patients who underwent cervical discography was reviewed. Twenty-six
patients (84%) experienced provocative concordant symptomatology and
were considered positive. The overall complication rate was 13%
(4/31), including the development of an acute epidural abscess that
led to myelopathy and eventual quadriplegia. Of the twenty-two
patients who underwent anterior cervical discectomy and fusion on
the basis of cervical discography, one patient had an excellent
result (5%), nine patients had good results (41%), and six patients
each had fair and poor results (54%). Diagnostic cervical
discography was found not to provide the degree of clinical
predictive value necessary to substantiate its potential risks and
complications. |
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MAIN MESH HEADINGS: |
Cervical Vertebrae/*radiography
Discitis/*etiology
Intervertebral Disk/*radiography
Quadriplegia/*etiology |
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ADDITIONAL MESH HEADINGS: |
Abscess/epidemiology
Abscess/etiology
Adult
Discitis/epidemiology
Female
Human
Incidence
Male
Middle Age
Quadriplegia/epidemiology
Radiography/adverse effects
Risk Factors
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