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September 28, 1964

Pathological (?) Findings

Author Affiliations

Poughkeepsie, NY

JAMA. 1964;189(13):1033. doi:10.1001/jama.1964.03070130053027

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To the Editor:—  Dr. Holt has rendered a great service with his recent communication on the "Fallacy."I performed many cervical discograms several years ago in an attempt to evaluate complaints of neck and arm pain and concluded that the test is exceedingly painful, gives no more information than cervical myelography, and indeed provides much false and misleading information. In a case of C4-C5 lateral herniated disk (proven by myelography and surgery) discography demonstrated "pathological findings" at the level of C4-C5, C5-C6, and C6-C7.Such findings are apt to delude the surgeon. It is my opinion that all disks show degenerative changes as a response to aging and that discography has limited, if any, value in routine diagnosis.

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