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Technique and Interpretation

CAPT. CHARLES KECK, MC

AMA Arch Surg. 1960;80(4):580-585.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

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.^5,6

There 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 . . . [Full Text PDF of this Article]

Author Affiliations
U.S. Army

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

Footnotes
Submitted for publication Aug. 25, 1959.

Read before the Section on Orthopedic Surgery at the 108th Annual Meeting of the American Medical Association, Atlantic City, June 11, 1959.

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