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Discography
This procedure is purely diagnostic. It entails the
placement of needles into the disk at the spinal cord level to be
studied. Under live fluoroscopy radio-opaque is then injected and
the disk is studied. The Intradiscal pressure is monitored during
the procedure. In most cases, a follow-up CT scan is obtained for
further diagnostic information.
There are two components to the diagnosis. The patient's
response to the dye is the first element. The recreation of pain
and the pressure at which that pain occurred in conjunction with
the appearance of the disk, evidence of where the dye is seen and
the follow-up CT scan make up the second part. Evidence of annular
fissures or tears, the level of degeneration of the disk, diagnostic
information, combined with the pain recreation, may guide further
therapeutic interventions. - view
animation
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