COMPARATIVE STUDY OF MYELOGRAPHY, DISCOGRAPHY, SELECTIVE LUMBAR RADICULOGRAPHY AND BLOCK, AND FACETOGRAPHY AND BLOCK IN PATIENTS WITH LOW BACK DISORDERS
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Usually we must treat many patients with low back disorders, complaining of lumbago, buttock pain and sciatica. In spite of classification of these pains into myofasciogenic pain, facetogenic pain, discogenic pain and so on, we have not yet had proper explanation of occurrence of these pains. To localize the precise level of the lesion which caused pain, myelography has been used until now but recently peridurography, facetography, selective lumbar radiculography and block, and discography are often utilized, so the localization of the lesion is more cleary defined.Since 1974 we have been performing facetography, radiculography, discography and myelography on these patients. And the following is deduced from the comparative study of these ancillary diagnostic aids. Facetography and block (performed on 70 cases):Indication 1. acute low back pain with limitation of mobility of the spine only2. chronic buttock pain, thigh pain with no neurological deficit, which is aggravated with physical exertion3. unilateral low back pain, buttock pain, thigh pain with limited extension of the spineIn the patients over fourty, marked degenerative facetogram was often seen and block was very effective.Discography (110 cases):As for L5/s disk herniation discography is more useful than myelography diagnostically.Discography can demonstrate asymptomatic disk.A few cases had marked relief of pain or numbness after undergoing this procedure.Discitis occurred in four cases.Selective lumbar radiculography and block (63 cases):1. this is more useful to determine the localization of the lesion in cases with poor postoperative result, with difficulties in localizing the lesion and with extreme lateral disk herniation.2. this is very effective as therapeutic aid in case with severe radicular pain.
- 一般社団法人 国立医療学会の論文
一般社団法人 国立医療学会 | 論文
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