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다발성 요추간반 탈출증에서 추간반조영술의 진단적 의의

Other Titles
 Diagnostic Significance of Discography on Multiple Lumbar Disc Herniation 
 이상원  ;  김긍년  ;  진동규  ;  김영수  ;  조용은  ;  진병호 
 Journal of Korean Neurosurgical Society (대한신경외과학회지), Vol.29(5) : 628-634, 2000 
Journal Title
Journal of Korean Neurosurgical Society(대한신경외과학회지)
Issue Date
Multiple herniated lumbar disc ; Discography ; CT/discogram ; D.I.T.I.
Objective:The introduction of MRI makes it easy to detect multiple lumbar disc herniation. However, MRI is not a physiologic test for detecting the symptomatic level. For the surgical plan, it is very important to determine the symtomatic level among the multiple lumbar disc herniation. In this regard, we studied diagnostic significance of discography on multiple lumbar disc herniation in determining the symptomatic level.
Method and Material:We retrospectvely analyzed the discographic and clinical findings of 121 patients with multiple lumbar disc herniation for investigating the diagnostic availability of discography. All were surgically treated from January 1995 through May 1998.
Result:Discography provocated the same pain as usual symptom in 99 out of 121 patients(81.8%). Compared with surgical findings, the diagnostic accuracy of the discography in multiple lumbar disc herniation was 75.6%, sensitivity was 64.6%, and specificity 87.2%. There was no correlation between the pain provocation of discography and the extent of annular degeneration on CT/discogram. The pain provocation showed good correlation with the extent of annular disruption on CT/discogram. The rate of same result(correlation rate) between the discography and D.I.T.I was 81.4% in multiple lumbar disc herniation patients with unilateral leg pain.
Conclusion:These results indicate that in multiple lumbar disc herniation, the discography is considered useful diagnostic tool to determine the symptomatic level and to decide the surgical plan.
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1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Keung Nyun(김긍년)
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