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April 1960

Discography: Technique and Interpretation

Author Affiliations

U.S. Army
Chief, Orthopedic Service, U.S. Army, Fort Hood, Killeen, Texas.

AMA Arch Surg. 1960;80(4):580-585. doi:10.1001/archsurg.1960.01290210048010

Introduction  A review of the literature on x-ray visualization of the intervertebral disc has led to two conclusions. First, there is a definite need for a detailed account of the technique of disc puncture. Second, the x-ray discogram should be more clearly illustrated since its interpretation could then be more readily understood and coordinated with the clinical picture of low-back pain. The material for this report is based on experiences while working with Feffer.5,6There is a need for a more accurate method of diagnosis of intervertebral disc pathology. Although helpful, myelography can be confusing and misleading.21 Discography, devised by Lindblom,14-20 eliminates some of these difficulties and is more accurate as an indicator of intervertebral disc pathology.1-5,9,24,26 It gives information that myelography cannot,1,2,5,9 e.g., lateral disc. Furthermore, minimal routine x-ray changes are more easily evaluated and correlated with the patient's symptomatology.Discography is not the

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