Prospective Evaluation of Correlations Between Discomanometry and MR Imaging Data: Role in the Management of Disc Disease — Preliminary Results

  • L. Castagnera
  • N. Grenier
  • B. Lavignolle
  • J. M. Caille
  • J. Senegas


In the past, percutaneous nucleotomy (PN) indications did not seem to have been clearly defined and its success rate, commonly of 75% –80%, draws near to chemonucleolysis (CN) results published in the literature. However, in recent years, more accurate definition of CN indications has given rise to significantly improved CN results and a success rate of 95%, with respect to certain discographic data [3]. In the same way, a CN success rate of more than 98% can be obtained with respect to specific discomanometric data [2]. Discomanometry (DMM) is a physical investigation of the disc which consists of evaluation of its compliance status. Its diagnostic value has been demonstrated [1, 2], permitting recognition of leaking from “non-leaking” discs, and assessment and quantification of the degree of disc degeneration in terms of discal pressure level and volume of fluid tolerated by the disc. Its predictive value is based on significant correlation between its data and CN results [2]. It follows therefrom that, as for CN, DMM had to be performed before PN procedure. Consequently, PN results had to be assessed in accordance with the data of DMM.


Disc Degeneration Iodine Contrast Medium Magnetic Resonance Imaging Data Posterior Longitudinal Ligament Hydration Level 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. 1.
    Castagnera L, LaVignolle B, Claverie JP, Vital JM, Baulny D, Senegas J (1987) Test de tolérance discale et discomanométrie. Intérêt diagnostique et pronostique avant chimionucléolyse. Acta Orthop Belg 53:184–194PubMedGoogle Scholar
  2. 2.
    Castagnera L, LaVignolle B, Vital JM, Grenier F, Baulny D, Senegas J (1987) Etude fonctionnelle du disque pathologique par la discomanométrie. Intérêt diagnostique et pronostique avant nucléolyse. Revue du Rhumatisme 55(5): 381–388Google Scholar
  3. 3.
    Edwards W, Orme T, Orr-Edwards B (1987) CT discography: Prognostic value in the selection of patients for chemonucleolysis. Spine 12:792–795PubMedCrossRefGoogle Scholar
  4. 4.
    Frot B, Folinais D, Bourgeois P, Roger B (1988) Intérêt de la discoscanographie lombaire dans les chymonucléolyses. Communication au Symposium sur l’approche percutanée des disques lombaires, Blois 4–5 mars 1988, Abstract p 54–58Google Scholar
  5. 5.
    Grenier N, Greselle JF, Vital JM et al. (1988) MR of lumbar longitudinal ligament. Normal anatomy and diagnosis of disruption in disc disease. Radiology (In press)Google Scholar
  6. 6.
    Jenkins JPR, Hickey DS, Zhu XP, Machin BA, Isherwood I (1985) MR imaging of the intervertebral disc: A quantitative study. Br J Radiol 58:705–709PubMedCrossRefGoogle Scholar
  7. 7.
    Kambin P, Brager MD (1987) Percutaneous posterolateral discectomy. Clin Orth Rel Research 223:145–153Google Scholar
  8. 8.
    Modic MT, Pavlicek W, Weinstein MA et al. (1984) Magnetic resonance imaging of intervertebral disc. Clinical and pulse sequence considerations. Radiology 152:103–111PubMedGoogle Scholar
  9. 9.
    Modic MT, Masaryk TJ, Ross JS, Carter JR (1988) Imaging of degenerative disk disease. Radiology 168:177–186PubMedGoogle Scholar
  10. 10.
    Sakamoto T, Tajima K (1988) La difference des pressions intradiscales avant et après la nucléotomie percutanée. Communication au Symposium sur l’approche percutanée des disques lombaires, Blois 4–5 mars 1988, Abstract p 69–70Google Scholar
  11. 11.
    Shepperd J (1988) Discectomie percutanée. Communication au Symposium sur l’approche percutanée des disques lombaires, Blois, France, 4–5 mars, Abstract p 66–67Google Scholar
  12. 12.
    Suezawa Y, Schreiber A (1987) Komplexe Indikationen in der Chirurgie des Spinalkanals. Z Ortho 125:308–319CrossRefGoogle Scholar
  13. 13.
    Troisier O, Cypel D (1987) Chirurgie ou nucléolyse? La discographie est-elle un facteur de décision? Acta Orthop Belg 53:195–203PubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1989

Authors and Affiliations

  • L. Castagnera
    • 1
  • N. Grenier
    • 2
  • B. Lavignolle
    • 1
  • J. M. Caille
    • 2
  • J. Senegas
    • 1
  1. 1.Service de Chirurgie de la Colonne VertébraleHôpital Pellegrin TripodeBordeaux CedexFrance
  2. 2.Service de RadiologieHôpital Pellegrin TripodeBordeaux CedexFrance

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