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Advanced Concepts in Lumbar Degenerative Disk Disease pp 109–135Cite as

Diskography

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Abstract

For more than 50 years, lumbar discography has been widely used for evaluating discogenic low back pain. Since these earlier negative studies, discography techniques and diagnostic criteria have also advanced. Complications are minimal in skilled hands. Most importantly, pressure- and speed-controlled manometric discography has been adopted. Previous discogram studies assessing false-positive rates had limitations including the use of excessive pressurization, manual injections, uncontrolled injection rates, unrecorded and/or unreported opening, and dynamic pressures, volumes, and maximal volumes. Clearly, continued research is needed. Discography remains an important diagnostic test for discogenic pain.

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References

  1. Lindblom K. Diagnostic puncture of intervertebral disks in sciatica. Acta Orthop Scand. 1948;17(3–4):231–9.

    Article  CAS  PubMed  Google Scholar 

  2. Lindblom K. Technique and results in myelography and disc puncture. Acta Radiol. 1950;34(4–5):321–30.

    CAS  PubMed  Google Scholar 

  3. Lindblom K. Technique and results of diagnostic disc puncture and injection (discography) in the lumbar region. Acta Orthop Scand. 1951;20(4):315–26.

    Article  CAS  PubMed  Google Scholar 

  4. Dandy WE. Loose cartilage from intervertebral disk simulating tumor of the spinal cord. By Walter E. Dandy, 1929. Clin Orthop Relat Res. 1989;238:4–8.

    PubMed  Google Scholar 

  5. Mixter W, Barr J. Rupture of the intervertebral disc with involvement of the spinal canal. N Engl J Med. 1934;211:210.

    Article  Google Scholar 

  6. Gardner WJ, et al. X-ray visualization of the intervertebral disk; with a consideration of the morbidity of disk puncture. AMA Arch Surg. 1952;64(3):355–64.

    Article  CAS  PubMed  Google Scholar 

  7. Wise RE, Gardner WJ, Hosier RB. X-ray visualization of the intervertebral disk. N Engl J Med. 1957;257(1):6–10.

    Article  CAS  PubMed  Google Scholar 

  8. Bogduk N, Aprill C, Derby R. Discography. In: White A, Schofferman J, editors. Spine care: diagnosis and conservative treatment. St. Louis: Mosby; 1995. p. 219–36.

    Google Scholar 

  9. Peng B, et al. The pathogenesis of discogenic low back pain. J Bone Joint Surg. 2005;87(1):62–7.

    CAS  Google Scholar 

  10. Freemont AJ, et al. Nerve ingrowth into diseased intervertebral disc in chronic back pain. Lancet. 1997;350(9072):178–81.

    Article  CAS  PubMed  Google Scholar 

  11. Coppes MH, et al. Innervation of “painful” lumbar discs. Spine. 1997;22(20):2342–9.

    Article  CAS  PubMed  Google Scholar 

  12. O’Neill C, Derby R. Percutaneous discectomy using nucleoplasty. In: International 21st course for percutaneous endoscopic spinal surgery and complementary techniques. Zurich: Spital Zolikerberg; 2003.

    Google Scholar 

  13. Wolfer LR, et al. Systematic review of lumbar provocation discography in asymptomatic subjects with a meta-analysis of false-positive rates. Pain Physician. 2008;11(4):513–38.

    PubMed  Google Scholar 

  14. Boden SD, et al. Abnormal magnetic-resonance scans of the cervical spine in asymptomatic subjects. A prospective investigation. J Bone Joint Surg Am. 1990;72(8):1178–84.

    CAS  PubMed  Google Scholar 

  15. Jensen MC, et al. Magnetic resonance imaging of the lumbar spine in people without back pain. N Engl J Med. 1994;331(2):69–73.

    Article  CAS  PubMed  Google Scholar 

  16. Bogduk N. Practice guidelines for spinal diagnostic and treatment procedures. In: Bogduk N, editor. Lumbar disc stimulation. San Francisco: International Spine Intervention Society; 2004.

    Google Scholar 

  17. Derby R, Lee SH, Kim BJ. Discography. In: Slipman CW et al., editors. Interventional spine: an algorithmic approach. Philadelphia: Saunders Elsevier; 2008. p. 291–302.

    Google Scholar 

  18. Landers MH, et al. Lumbar spinal neuroaxial procedures. In: Raj PP et al., editors. Interventional pain management: image-guided procedures. Philadelphia: Saunders Elsevier; 2008. p. 322–67.

    Google Scholar 

  19. Guyer RD, Ohnmeiss DD. Lumbar discography. Position statement from the North American Spine Society Diagnostic and Therapeutic Committee. Spine. 1995;20(18):2048–59.

    Article  CAS  PubMed  Google Scholar 

  20. Greenspan A, et al. Is there a role for diskography in the era of magnetic resonance imaging? Prospective correlation and quantitative analysis of computed tomography-diskography, magnetic resonance imaging, and surgical findings. J Spinal Disord. 1992;5(1):26–31.

    Article  CAS  PubMed  Google Scholar 

  21. Derby R, et al. The influence of psychologic factors on diskography in patients with chronic axial low back pain. Arch Phys Med Rehabil. 2008;89(7):1300–4.

    Article  PubMed  Google Scholar 

  22. Huang TS, et al. Gadopentetate dimeglumine as an intradiscal contrast agent. Spine. 2002;27(8):839–43.

    Article  PubMed  Google Scholar 

  23. Falco FJ, Moran JG. Lumbar discography using gadolinium in patients with iodine contrast allergy followed by postdiscography computed tomography scan. Spine. 2003;28(1):E1–4.

    Article  PubMed  Google Scholar 

  24. Fraser RD, Osti OL, Vernon-Roberts B. Discitis after discography. J Bone Joint Surg Br. 1987;69(1):26–35.

    CAS  PubMed  Google Scholar 

  25. Fraser RD, Osti OL, Vernon-Roberts B. Iatrogenic discitis: the role of intravenous antibiotics in prevention and treatment. An experimental study. Spine. 1989;14(9):1025–32.

    Article  CAS  PubMed  Google Scholar 

  26. Polk Jr HC, Christmas AB. Prophylactic antibiotics in surgery and surgical wound infections. Am Surg. 2000;66(2):105–11.

    PubMed  Google Scholar 

  27. Osti OL, Fraser RD, Vernon-Roberts B. Discitis after discography. The role of prophylactic antibiotics. J Bone Joint Surg Br. 1990;72(2):271–4.

    CAS  PubMed  Google Scholar 

  28. Aprill C. Diagnostic disc injections: II. Diagnostic lumbar disc injection. In: The adult spine. Principles and practice. 2nd ed. Philadelphia: Lippincott-Raven Publisher; 1997. p. 539–62.

    Google Scholar 

  29. Endres S, Bogduk N. Lumbar disc stimulation. In: Bogduk N, editor. International Spine Intervention Society: practice guidelines and protocols. San Francisco: International Spine Intervention Society; 2005.

    Google Scholar 

  30. Klessig HT, Showsh SA, Sekorski A. The use of intradiscal antibiotics for discography: an in vitro study of gentamicin, cefazolin, and clindamycin. Spine. 2003;28(15):1735–8.

    PubMed  Google Scholar 

  31. Carrino JA, Morrison WB. Discography: current concepts and techniques. Appl Radiol. 2002;31:32–40.

    Google Scholar 

  32. Aprill C. Diagnostic disc injections: I. Cervical disc injection. In: The adult spine: principles and practice. 2nd ed. Philadelphia: Lippincott-Raven Publishers; 1997. p. 523–38.

    Google Scholar 

  33. Fenton DS, Czervionke. Discography. In: Fenton DS, Czervionke, editors. Image guided spine intervention. Philadelphia: Saunders; 2003. p. 227–55.

    Google Scholar 

  34. Landers MH. Discography. In: Waldman SD, editor. Pain Management, 2nd Edition. Philadelphia, PA: WB Saunders; 2011. p. 116–38.

    Google Scholar 

  35. Vivian D, Landers MH. Discography: Intervertebral Disc Access and Stimulation: Lumbar, Thoracic, and Cervical. In: Lennard TA, editor. Pain Procedures in Clinical Practice, 3rd edition. Philadelphia, PA: Elsevier; 2011. p. 418–40.

    Google Scholar 

  36. Endres S, Bogduk N. Lumbar disc stimulation. In: Bugdok N, editor. Practice guidelines for spinal diagnostic and treatment procedures. San Francisco: International Spine Intervention Society; 2004. p. 20–46.

    Google Scholar 

  37. Day PL. Lateral approach for lumbar diskogram and chemonucleolysis. Clin Orthop Relat Res. 1969;67:90–3.

    Article  CAS  PubMed  Google Scholar 

  38. Edholm P, Fernstrom I, Lindblom K. Extradural lumbar disk puncture. Acta Radiol Diagn (Stockh). 1967;6(4):322–8.

    CAS  Google Scholar 

  39. Drummond GB, Scott DH. Deflection of spinal needles by the bevel. Anaesthesia. 1980;35(9):854–7.

    Article  CAS  PubMed  Google Scholar 

  40. Sitzman BT, Uncles DR. The effects of needle type, gauge, and tip bend on spinal needle deflection. Anesth Analg. 1996;82(2):297–301.

    CAS  PubMed  Google Scholar 

  41. Dreyfuss P. The power of bevel control. In: International Spinal Injection Society Scientific (ISIS) Newsletter. San Francisco: International Spine Intervention Society; 1998. p. 16.

    Google Scholar 

  42. Kumar N, Agorastides ID. The curved needle technique for accessing the L5/S1 disc space. Br J Radiol. 2000;73(870):655–7.

    Article  CAS  PubMed  Google Scholar 

  43. Derby R. Lumbar discometry. Sci Newsl Int Spine Injection Soc Newsl. 1993;1(5):8–17.

    Google Scholar 

  44. Derby R, et al. The ability of pressure-controlled discography to predict surgical and nonsurgical outcomes. Spine. 1999;24(4):364–71.

    Article  CAS  PubMed  Google Scholar 

  45. Carragee EJ, et al. False-positive findings on lumbar discography. Reliability of subjective concordance assessment during provocative disc injection. Spine. 1999;24(23):2542–7.

    Article  CAS  PubMed  Google Scholar 

  46. Carragee EJ, et al. The rates of false-positive lumbar discography in select patients without low back symptoms. Spine. 2000;25(11):1373–80.

    Article  CAS  PubMed  Google Scholar 

  47. Endres S, Bogduk N. Lumbar disc stimulation. In: International Spine Intervention Society (ISIS) practice standards and protocols. San Francisco: International Spine Intervention Society; 2003.

    Google Scholar 

  48. Seo K-S, et al. In vitro measurement of pressure differences using manometry at various injection speeds during discography. Spine J. 2007;7(1):68–73.

    Article  PubMed  Google Scholar 

  49. Adams MA, Dolan P, Hutton WC. The stages of disc degeneration as revealed by discograms. J Bone Joint Surg Br. 1986;68(1):36–41.

    CAS  PubMed  Google Scholar 

  50. Vanharanta H, et al. The relationship of pain provocation to lumbar disc deterioration as seen by CT/discography. Spine. 1987;12(3):295–8.

    Article  CAS  PubMed  Google Scholar 

  51. Derby R, et al. The relation between annular disruption on computed tomography scan and pressure-controlled diskography. Arch Phys Med Rehabil. 2005;86(8):1534–8.

    Article  PubMed  Google Scholar 

  52. Aprill C, Bogduk N. High-intensity zone: a diagnostic sign of painful lumbar disc on magnetic resonance imaging. Br J Radiol. 1992;65(773):361–9.

    Article  CAS  PubMed  Google Scholar 

  53. Sachs BL, et al. Dallas discogram description. A new classification of CT/discography in low-back disorders. Spine. 1987;12(3):287–94.

    Article  CAS  PubMed  Google Scholar 

  54. Walsh TR, et al. Lumbar discography in normal subjects. A controlled, prospective study. J Bone Joint Surg. 1990;72(7):1081–8.

    CAS  PubMed  Google Scholar 

  55. Vanharanta H, et al. Pain provocation and disc deterioration by age. A CT/discography study in a low-back pain population. Spine. 1989;14(4):420–3.

    Article  CAS  PubMed  Google Scholar 

  56. Thomas PS. Image-guided pain management. Philadelphia: Lippincott-Raven; 1997.

    Google Scholar 

  57. Holt EP. The question of lumbar discography. J Bone Joint Surg Am. 1968;50(4):720–6.

    PubMed  Google Scholar 

  58. Carragee EJ, et al. Provocative discography in patients after limited lumbar discectomy: a controlled, randomized study of pain response in symptomatic and asymptomatic subjects. Spine. 2000;25(23):3065–71.

    Article  CAS  PubMed  Google Scholar 

  59. Ketterer MW, Buckholtz CD. Somatization disorder. J Am Osteopath Assoc. 1989;89(4):489–90. 495.

    CAS  PubMed  Google Scholar 

  60. Zoccolillo MS, Cloninger CR. Excess medical care of women with somatization disorder. South Med J. 1986;79(5):532–5.

    Article  CAS  PubMed  Google Scholar 

  61. Tsuji N, Igarashi S, Koyama T. Spinal epidural abscess – report of 5 cases. No Shinkei Geka. 1987;15(10):1079–85.

    CAS  PubMed  Google Scholar 

  62. Junila J, Niinimaki T, Tervonen O. Epidural abscess after lumbar discography. A case report. Spine. 1997;22(18):2191–3.

    Article  CAS  PubMed  Google Scholar 

  63. Agre K, et al. Chymodiactin postmarketing surveillance. Demographic and adverse experience data in 29,075 patients. Spine. 1984;9(5):479–85.

    Article  CAS  PubMed  Google Scholar 

  64. Guyer RD, et al. Discitis after discography. Spine. 1988;13(12):1352–4.

    Article  CAS  PubMed  Google Scholar 

  65. Arrington JA, et al. Magnetic resonance imaging of postdiscogram discitis and osteomyelitis in the lumbar spine: case report. J Fla Med Assoc. 1986;73(3):192–4.

    CAS  PubMed  Google Scholar 

  66. Modic MT, et al. Vertebral osteomyelitis: assessment using MR. Radiology. 1985;157(1):157–66.

    Article  CAS  PubMed  Google Scholar 

  67. Ledermann HP, et al. MR imaging findings in spinal infections: rules or myths? Radiology. 2003;228(2):506–14.

    Article  PubMed  Google Scholar 

  68. Szypryt EP, et al. A comparison between magnetic resonance imaging and scintigraphic bone imaging in the diagnosis of disc space infection in an animal model. Spine. 1988;13(9):1042–8.

    Article  CAS  PubMed  Google Scholar 

  69. Aprill C. Diagnostic disc injections. In: Aprill C, editor. The adult spine: principles and practice. Philadelphia: Lippincott-Raven; 1997. p. 523–38.

    Google Scholar 

  70. Baker AS, et al. Spinal epidural abscess. N Engl J Med. 1975;293(10):463–8.

    Article  CAS  PubMed  Google Scholar 

  71. Ravicovitch MA, Spallone A. Spinal epidural abscesses. Surgical and parasurgical management. Eur Neurol. 1982;21(5):347–57.

    Article  CAS  PubMed  Google Scholar 

  72. Lownie SP, Ferguson GG. Spinal subdural empyema complicating cervical discography. Spine. 1989;14(12):1415–7.

    Article  CAS  PubMed  Google Scholar 

  73. Grubb SA, Lipscomb HJ, Guilford WB. The relative value of lumbar roentgenograms, metrizamide myelography, and discography in the assessment of patients with chronic low-back syndrome. Spine. 1987;12(3):282–6.

    Article  CAS  PubMed  Google Scholar 

  74. Johnson RG. Does discography injure normal discs? An analysis of repeat discograms. Spine. 1989;14(4):424–6.

    Article  CAS  PubMed  Google Scholar 

  75. Freeman BJC, et al. Does intradiscal electrothermal therapy denervate and repair experimentally induced posterolateral annular tears in an animal model? Spine. 2003;28(23):2602–8.

    Article  PubMed  Google Scholar 

  76. Boswell MV, Wolfe JR. Intrathecal cefazolin-induced seizures following attempted discography. Pain Physician. 2004;7(1):103–6.

    PubMed  Google Scholar 

  77. Resnick DK, Malone DG, Ryken TC. Guidelines for the use of discography for the diagnosis of painful degenerative lumbar disc disease. Neurosurg Focus. 2002;13(2):1–9.

    Article  Google Scholar 

  78. Antti-Poika I, et al. Clinical relevance of discography combined with CT scanning. A study of 100 patients. J Bone Joint Surg Br. 1990;72(3):480–5.

    CAS  PubMed  Google Scholar 

  79. Slipman CW, et al. Side of symptomatic annular tear and site of low back pain: is there a correlation? Spine. 2001;26(8):E165–9.

    Article  CAS  PubMed  Google Scholar 

  80. Smith SE, et al. Outcome of unoperated discogram-positive low back pain. Spine. 1995;20(18):1997–2000. discussion 2000-1.

    Article  CAS  PubMed  Google Scholar 

  81. Milette PC, Melanson D. A reappraisal of lumbar discography. J Can Assoc Radiol. 1982;33(3):176–82.

    CAS  PubMed  Google Scholar 

  82. Manchikanti L, et al. Influence of psychological factors on the ability to diagnose chronic low back pain of facet joint origin. Pain Physician. 2001;4(4):349–57.

    CAS  PubMed  Google Scholar 

  83. Schwarzer AC, et al. The prevalence and clinical features of internal disc disruption in patients with chronic low back pain. Spine. 1995;20(17):1878–83.

    Article  CAS  PubMed  Google Scholar 

  84. Osti OL, Fraser RD. MRI and discography of annular tears and intervertebral disc degeneration. A prospective clinical comparison. J Bone Joint Surg Br. 1992;74(3):431–5.

    CAS  PubMed  Google Scholar 

  85. Milette PC, Raymond J, Fontaine S. Comparison of high-resolution computed tomography with discography in the evaluation of lumbar disc herniations. Spine. 1990;15(6):525–33.

    Article  CAS  PubMed  Google Scholar 

  86. Bernard TN. Lumbar discography followed by computed tomography. Refining the diagnosis of low-back pain. Spine. 1990;15(7):690–707.

    Article  PubMed  Google Scholar 

  87. Ohnmeiss DD, Vanharanta H, Guyer RD. The association between pain drawings and computed tomographic/discographic pain responses. Spine. 1995;20(6):729–33.

    Article  CAS  PubMed  Google Scholar 

  88. Schellhas KP, et al. Lumbar disc high-intensity zone. Correlation of magnetic resonance imaging and discography. Spine. 1996;21(1):79–86.

    Article  CAS  PubMed  Google Scholar 

  89. Saifuddin A, et al. The value of lumbar spine magnetic resonance imaging in the demonstration of annular tears. Spine. 1998;23(4):453–7.

    Article  CAS  PubMed  Google Scholar 

  90. Kang CH, et al. Can magnetic resonance imaging accurately predict concordant pain provocation during provocative disc injection? Skeletal Radiol. 2009;38(9):877–85.

    Google Scholar 

  91. Braithwaite I, et al. Vertebral end-plate (Modic) changes on lumbar spine MRI: correlation with pain reproduction at lumbar discography. Eur Spine J. 1998;7(5):363–8.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  92. Simmons JW, et al. Awake discography. A comparison study with magnetic resonance imaging. Spine. 1991;16(6 Suppl):S216–21.

    Article  CAS  PubMed  Google Scholar 

  93. Zucherman J, et al. Normal magnetic resonance imaging with abnormal discography. Spine. 1988;13(12):1355–9.

    Article  CAS  PubMed  Google Scholar 

  94. Derby R, et al. Comparison of discographic findings in asymptomatic subject discs and the negative discs of chronic LBP patients: can discography distinguish asymptomatic discs among morphologically abnormal discs? Spine J. 2005;5(4):389–94.

    Article  PubMed  Google Scholar 

  95. Shin D, et al. Diagnostic relevance of pressure-controlled discography. J Korean Med Sci. 2006;21:911–6.

    Article  PubMed Central  PubMed  Google Scholar 

  96. Manchikanti L, et al. Provocative discography in low back pain patients with or without somatization disorder: a randomized prospective evaluation. Pain Physician. 2001;4(3):227–39.

    CAS  PubMed  Google Scholar 

  97. Carragee EJ, et al. Provocative discography in volunteer subjects with mild persistent low back pain. Spine J. 2002;2(1):25–34.

    Article  PubMed  Google Scholar 

  98. Manchikanti L, et al. Evaluation of the relative contributions of various structures in chronic low back pain. Pain Physician. 2001;4(4):308–16.

    CAS  PubMed  Google Scholar 

  99. Sambrook PN, MacGregor AJ, Spector TD. Genetic influences on cervical and lumbar disc degeneration: a magnetic resonance imaging study in twins. Arthritis Rheum. 1999;42(2):366–72.

    Article  CAS  PubMed  Google Scholar 

  100. Jacobs B, Ghelman B, Marchisello P. Coexistence of cervical and lumbar disc disease. Spine. 1990;15(12):1261–4.

    Article  CAS  PubMed  Google Scholar 

  101. Carragee EJ, et al. Does discography cause accelerated progression of degeneration changes in the lumbar disc: a ten-year matched cohort study. Spine (Phila Pa 1976). 2009;13(21):2338–45.

    Article  Google Scholar 

  102. Ohtori S, et al. No acceleration of intervertebral disc degeneration after a single injection of bupivacaine in young age group with follow-up of 5 years. Asian Spine J. 2013;7(3):212–7.

    Article  PubMed Central  PubMed  Google Scholar 

  103. Martin JT, et al. Needle puncture injury causes acute and long-term mechanical deficiency in a mouse model of intervertebral disc degeneration. J Orthop Res. 2013;31(8):1276–82.

    Article  CAS  PubMed  Google Scholar 

  104. Bogduk N. The innervation of the lumbar spine. Spine (Phila Pa 1976). 1983;8(3):286–93.

    Article  CAS  Google Scholar 

  105. Freemont AJ, et al. Nerve growth factor expression and innervation of the painful intervertebral disc. J Pathol. 2002;197(3):286–92.

    Article  CAS  PubMed  Google Scholar 

  106. Brown MF, et al. Sensory and sympathetic innervation of the vertebral endplate in patients with degenerative disc disease. J Bone Joint Surg Br. 1997;79(1):147–53.

    Article  CAS  PubMed  Google Scholar 

  107. Burke JG, et al. Intervertebral discs which cause low back pain secrete high levels of proinflammatory mediators. J Bone Joint Surg Br. 2002;84(2):196–201.

    Article  CAS  PubMed  Google Scholar 

  108. Cunha JM, et al. Cytokine-mediated inflammatory hyperalgesia limited by interleukin-1 receptor antagonist. Br J Pharmacol. 2000;130(6):1418–24.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  109. Hirsch C. An attempt to diagnose the level of a disc lesion clinically by disc puncture. Acta Orthop Scand. 1948;18:132–40.

    Article  Google Scholar 

  110. Roth DA. Cervical analgesic discography. A new test for the definitive diagnosis of the painful-disk syndrome. JAMA. 1976;235(16):1713–4.

    Article  CAS  PubMed  Google Scholar 

  111. Alamin T. Discography versus functional analgesic discography: comparative results and post-operative outcomes. In: International Society for the Study of the Lumbar Spine. Bergen: International Society for the Study of the Lumbar Spine; 2006.

    Google Scholar 

  112. Alamin T, Arawal V, Carragee EJ. FAD versus provocative discography: comparative results and post-operative clinical outcomes. Proceedings of the NASS 22nd Annual Meeting. Spine J. 2007;7:39S–40.

    Article  Google Scholar 

  113. Alamin TF, Kim MJ, Agarwal V. Provocative lumbar discography versus functional anesthetic discography: a comparison of the results of two different diagnostic techniques in 52 patients with chronic low back pain. Spine J. 2011;11(8):756–65.

    Article  PubMed  Google Scholar 

  114. DePalma M. Are outer annular fissures stimulated during diskography the source of diskogenic low-back pain? An analysis of analgesic diskography data. Pain Med. 2009;10(3):488–94.

    Google Scholar 

  115. Derby R, et al. Comparison of four different analgesic discogram protocols comparing the incidence of reported pain relief following local anesthetic injection into concordantly painful lumbar intervertebral discs. Pain Med. 2012;13(12):1547–53.

    Article  PubMed  Google Scholar 

  116. Carragee EJ, et al. A gold standard evaluation of the “discogenic pain” diagnosis as determined by provocative discography. Spine. 2006;31(18):2115–23.

    Article  PubMed  Google Scholar 

  117. Colhoun E, et al. Provocation discography as a guide to planning operations on the spine. J Bone Joint Surg Br. 1988;70(2):267–71.

    CAS  PubMed  Google Scholar 

  118. Blumenthal SL, et al. The role of anterior lumbar fusion for internal disc disruption. Spine. 1988;13(5):566–9.

    Article  CAS  PubMed  Google Scholar 

  119. Lettice JJ, et al. Does the number of levels affect lumbar fusion outcome? Spine. 2005;30(6):675–81.

    Article  PubMed  Google Scholar 

  120. Mahomed NN, et al. The importance of patient expectations in predicting functional outcomes after total joint arthroplasty. J Rheumatol. 2002;29(6):1273–9.

    PubMed  Google Scholar 

  121. Cooper G, Kahn S, Lutz G. Predictive value of provocative lumbar disc stimulation. In: International Spine Intervention Society. Las Vegas: International Spine Intervention Society; 2008. p. 174–9.

    Google Scholar 

  122. Ohtori S, Kinoshita T, Nakamura S. Surgical results for discogenic low back pain randomized study using discography versus discoblock. In: Proceedings of International Society for Study of the Lumbar Spine. Geneva: International Society for Study of the Lumbar Spine; 2008. p. 59.

    Google Scholar 

  123. Derby R, et al. Pressure-controlled lumbar discography in volunteers without low back symptoms. Pain Med. 2005;6(3):213–21.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Anesthesiology, Spinal Diagnostics and Treatment Center, 901 Campus Drive, Suite 310, Daly City, CA, 94015, USA

    Richard Derby MD & Lee R. Wolfer MD, MS

  2. Department of Anesthesiology, University of Kansas School of Medicine, Wichita, KS, USA

    Milton H. Landers DO, PhD

  3. Kansas Spine Institute, 825 N Hillside, Wichita, KS, 67214, USA

    Milton H. Landers DO, PhD

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  1. Richard Derby MD
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  2. Lee R. Wolfer MD, MS
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  3. Milton H. Landers DO, PhD
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Correspondence to Richard Derby MD .

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Editors and Affiliations

  1. Neurological and Spine Surgery, Hospital Samaritano, São Paulo, São Paulo, Brazil

    João Luiz Pinheiro-Franco

  2. Rothman Institute, Thomas Jefferson University Medical Center, Philadelphia, Pennsylvania, USA

    Alexander R. Vaccaro

  3. Cleveland Clinic Neurological Surgery, Cleveland, Ohio, USA

    Edward C. Benzel

  4. Schön Klinik München Harlaching FG Wirbelsäulenchirurgie, München, Germany

    H. Michael Mayer

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Derby, R., Wolfer, L.R., Landers, M.H. (2016). Diskography. In: Pinheiro-Franco, J., Vaccaro, A., Benzel, E., Mayer, H. (eds) Advanced Concepts in Lumbar Degenerative Disk Disease. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-47756-4_8

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