Techniques in Vascular & Interventional Radiology
Volume 12, Issue 1 , Pages 33-43 , March 2009

Interventional Assessment of the Lumbar Disk: Provocation Lumbar Diskography and Functional Anesthetic Diskography

  • Walter S. Bartynski, MD

      Affiliations

    • Department of Radiology, Division of Neuroradiology, Presbyterian University Hospital, University of Pittsburgh Medical Center, Pittsburgh, PA
    • Corresponding Author InformationAddress reprint requests to Walter S. Bartynski, MD, Department of Radiology, Division of Neuroradiology, Presbyterian University Hospital, University of Pittsburgh Medical Center, 200 Lothrop Street, D132, Pittsburgh, PA 15213
    • ,
  • A. Orlando Ortiz, MD, MBA

      Affiliations

    • Department of Radiology, Winthrop-University Hospital, Stony Brook University School of Medicine, Mineola, NY

References 

  1. Guyer RD, Ohnmeiss DD. Lumbar discography (Position statement from the North American Spine Society Diagnostic and Therapeutic Committee). Spine. 1995;20:2048–2059
  2. Aprill C, Bogduk N. High-intensity zone: A diagnostic sign of painful lumbar disc on magnetic resonance imaging. Br J Radiol. 1992;65:361–369
  3. Schellhas KP, Pollei SR, Gundry CR, et al. Lumbar disc high-intensity zone (Correlation of magnetic resonance imaging and discography). Spine. 1996;21:79–86
  4. Saifuddin A, Braithwaite I, White J, et al. The value of lumbar spine magnetic resonance imaging in the demonstration of anular tears. Spine. 1998;23:453–457
  5. Brightbill TC, Pile N, Eichelberger RP, et al. Normal magnetic resonance imaging and abnormal discography in lumbar disc disruption. Spine. 1994;19:1075–1077
  6. Braithwaite I, White J, Saifuddin A, et al. Vertebral end-plate (Modic) changes on lumbar spine MRI: Correlation with pain reproduction at lumbar discography. Eur Spine J. 1998;7:363–368
  7. Thompson KJ, Dagher AP, Eckel TS, et al. Modic changes on MR images as studied with provocative diskography: Clinical relevance—A retrospective study of 2457 disks. Radiology. 2009;250:849–855
  8. Walsh TR, Weinstein JN, Spratt KF, et al. Lumbar discography in normal subjects (A controlled, prospective study). J Bone Joint Surg Am. 1990;72:1081–1088
  9. Sachs BL, Vanharanta H, Spivey MA, et al. Dallas discogram description (A new classification of CT/discography in low-back disorders). Spine. 1987;12:287–294
  10. Bartynski WS, Rothfus WE. Pain improvement after intradiskal lidocaine administration in provocation lumbar diskography: Association with diskographic contrast leakage. AJNR Am J Neuroradiol. 2007;28:1259–1265
  11. Bartynski WS, Rothfus WE, Kurs-Lasky M, et al. Features of lidocaine-sensitive and lidocaine-insensitive severely painful disks at provocation lumbar diskography. AJNR Am J Neuroradiol. 2008;29:1455–1460
  12. Alamin T, Arawal V, Caragee E. FAD Versus Provocative Discography: Comparative Results and Postoperative Clinical Outcomes. San Antonio, TX: North American Spine Society; 2007;
  13. Practice guidelines for sedation and analgesia by non-anesthesiologists. Anesthesiology. 2002;96:1004–1017
  14. Harris RS, Sebel PS. Monitored anesthesia care and conscious sedation. In:  Longnedker DE,  Brown DL,  Newman MF,  Zapol WM editor. Anesthesiology. New York, NY: McGraw Hill Medical; 2008;
  15. Acute Pain Management Guideline Panel: Acute pain management: Operative or medical procedures and trauma: Clinical practice guideline, in Services UdoHaH (ed): 1992
  16. Ho K, Spence J, Murphy MF. Review of pain-measurement tools. Ann Emerg Med. 1996;27:427–432
  17. Alamin T. The functional anaesthetic discogram: Comparison of the results of a novel technique to that of provocative discography in a group of patients with chronic low back pain. Bergen, Norway: International Society for the Study of the lumbar spine: Abstracts; 2006;
  18. Carragee EJ, Tanner CM, Yang B, et al. False-positive findings on lumbar discography (Reliability of subjective concordance assessment during provocative disc injection). Spine. 1999;24:2542–2547
  19. Luchs JL, Cho MDeMoura, et al. Preliminary experience with functional anesthetic diskography. Spine J. 2007;7(suppl):63
  20. Ortiz AO, Johnson B. Discography. Tech Vasc Interv Radiol. 2002;5:207–216

PII: S1089-2516(09)00020-1

doi: 10.1053/j.tvir.2009.06.003

Techniques in Vascular & Interventional Radiology
Volume 12, Issue 1 , Pages 33-43 , March 2009

Article Tools

* Image Usage & Resolution