Frequency of use of discography findings for the diagnosis of low back pain of discogenic origin. Systematic review of the literature

A. Méndez-Gutiérrez; F. Marín Navas; J. C. Acevedo-González

doi:10.1016/j.recot.2023.03.006

Frequency of use of discography findings for the diagnosis of low back pain of discogenic origin. Systematic review of the literature

Título traducido de la contribución: Frecuencia de uso de los hallazgos de la discografía para el diagnóstico del dolor lumbar de origen discogénico. Revisión sistemática de la literatura

A. Méndez-Gutiérrez
, F. Marín Navas
, J. C. Acevedo-González

Pontificia Universidad Javeriana

Producción: Contribución a una revista › Artículo › revisión exhaustiva

1 Cita (Scopus)

Resumen

Introducción: Existen diferentes técnicas e interpretaciones de los hallazgos en la discografía
para determinarla positiva para el diagnóstico de dolor discogénico. Este estudio pretende
evaluar la frecuencia de uso de los hallazgos de la discografía para el diagnóstico de la lumbalgia
de origen discogénico.
Material y métodos: Se realizó una búsqueda sistemática de la literatura de los últimos 17
anos ˜ en MEDLINE y BIREME. Se identificaron en total 625 artículos, 555 fueron excluidos por
duplicados, título y resumen. Se obtuvieron 70 textos completos de los que se incluyeron 36 en
el análisis tras excluir 34 por no cumplir los criterios de inclusión.
Resultados: Entre los criterios en la discografía para determinarla como positiva, 8 estudios
utilizaron únicamente la respuesta del dolor al procedimiento, 28 estudios utilizaron más de
un criterio durante la discografía para considerarla positiva, la evaluación de al menos un disco
intervertebral adyacente de resultado negativo fue necesario en 26 estudios para considerar
una discografía como positiva. Cinco estudios expresaron formalmente el uso de la técnica
descrita por la SIS/IASP para determinar una discografía como positiva.
Conclusiones: El dolor en respuesta a la inyección de medio de contraste, evaluado con la escala
analógica visual de dolor ≥ 6, fue el criterio más utilizado en los estudios incluidos en esta
revisión. Aunque ya existen criterios para determinar una discografía como positiva, persiste el
uso de diferentes técnicas e interpretaciones de los hallazgos de la discografía para determinar
una discografía positiva para el dolor lumbar de origen discogénico.

Título traducido de la contribución	Frecuencia de uso de los hallazgos de la discografía para el diagnóstico del dolor lumbar de origen discogénico. Revisión sistemática de la literatura
Idioma original	Inglés
Páginas (desde-hasta)	209-222
Número de páginas	14
Publicación	Revista Espanola de Cirugia Ortopedica y Traumatologia
Volumen	68
N.º	3
DOI	https://doi.org/10.1016/j.recot.2023.03.006 https://doi.org/10.1016/j.recot.2024.03.008
Estado	Publicada - 01 may. 2024

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Méndez-Gutiérrez, A., Marín Navas, F., & Acevedo-González, J. C. (2024). Frequency of use of discography findings for the diagnosis of low back pain of discogenic origin. Systematic review of the literature. Revista Espanola de Cirugia Ortopedica y Traumatologia, 68(3), 209-222. https://doi.org/10.1016/j.recot.2023.03.006, https://doi.org/10.1016/j.recot.2024.03.008

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title = "Frequency of use of discography findings for the diagnosis of low back pain of discogenic origin. Systematic review of the literature",

abstract = "Introduction: There are different techniques and interpretations of discography findings to determine it positive for the diagnosis of discogenic pain. This study aims to evaluate the frequency of use of discography findings for the diagnosis of low back pain of discogenic origin. Material and methods: A systematic review of the literature of the last 17 years was performed in MEDLINE and BIREME. A total of 625 articles were identified, 555 were excluded for duplicates, title and abstract. We obtained 70 full texts of which 36 were included in the analysis after excluding 34 for not meeting the inclusion criteria. Results: Among the criteria in discography to determine it as positive, 8 studies used only the pain response to the procedure, 28 studies used more than one criterion during discography to consider it as positive, the evaluation of at least one adjacent intervertebral disc with a negative result was necessary in 26 studies to consider a discography as positive. Five studies formally expressed the use of the technique described by SIS/IASP to determine a discography as positive. Conclusions: Pain in response to contrast medium injection, assessed with the visual analog pain scale ≥ 6, was the most used criterion in the studies included in this review. Although there are already criteria to determine a discography as positive, the use of different techniques and interpretations of discography findings to determine a positive discography for low back pain of discogenic origin persists.",

keywords = "Discogenic pain, Discogram, Discography, Intervertebral disc, Low back pain, Spine",

author = "A. M{\'e}ndez-Guti{\'e}rrez and \{Mar{\'i}n Navas\}, F. and Acevedo-Gonz{\'a}lez, \{J. C.\}",

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year = "2024",

month = may,

day = "1",

doi = "10.1016/j.recot.2023.03.006",

language = "English",

volume = "68",

pages = "209--222",

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Méndez-Gutiérrez, A, Marín Navas, F & Acevedo-González, JC 2024, 'Frequency of use of discography findings for the diagnosis of low back pain of discogenic origin. Systematic review of the literature', Revista Espanola de Cirugia Ortopedica y Traumatologia, vol. 68, n.º 3, pp. 209-222. https://doi.org/10.1016/j.recot.2023.03.006, https://doi.org/10.1016/j.recot.2024.03.008

Frequency of use of discography findings for the diagnosis of low back pain of discogenic origin. Systematic review of the literature. / Méndez-Gutiérrez, A.; Marín Navas, F.; Acevedo-González, J. C.
En: Revista Espanola de Cirugia Ortopedica y Traumatologia, Vol. 68, N.º 3, 01.05.2024, p. 209-222.

Producción: Contribución a una revista › Artículo › revisión exhaustiva

TY - JOUR

T1 - Frequency of use of discography findings for the diagnosis of low back pain of discogenic origin. Systematic review of the literature

AU - Méndez-Gutiérrez, A.

AU - Marín Navas, F.

AU - Acevedo-González, J. C.

PY - 2024/5/1

Y1 - 2024/5/1

N2 - Introduction: There are different techniques and interpretations of discography findings to determine it positive for the diagnosis of discogenic pain. This study aims to evaluate the frequency of use of discography findings for the diagnosis of low back pain of discogenic origin. Material and methods: A systematic review of the literature of the last 17 years was performed in MEDLINE and BIREME. A total of 625 articles were identified, 555 were excluded for duplicates, title and abstract. We obtained 70 full texts of which 36 were included in the analysis after excluding 34 for not meeting the inclusion criteria. Results: Among the criteria in discography to determine it as positive, 8 studies used only the pain response to the procedure, 28 studies used more than one criterion during discography to consider it as positive, the evaluation of at least one adjacent intervertebral disc with a negative result was necessary in 26 studies to consider a discography as positive. Five studies formally expressed the use of the technique described by SIS/IASP to determine a discography as positive. Conclusions: Pain in response to contrast medium injection, assessed with the visual analog pain scale ≥ 6, was the most used criterion in the studies included in this review. Although there are already criteria to determine a discography as positive, the use of different techniques and interpretations of discography findings to determine a positive discography for low back pain of discogenic origin persists.

AB - Introduction: There are different techniques and interpretations of discography findings to determine it positive for the diagnosis of discogenic pain. This study aims to evaluate the frequency of use of discography findings for the diagnosis of low back pain of discogenic origin. Material and methods: A systematic review of the literature of the last 17 years was performed in MEDLINE and BIREME. A total of 625 articles were identified, 555 were excluded for duplicates, title and abstract. We obtained 70 full texts of which 36 were included in the analysis after excluding 34 for not meeting the inclusion criteria. Results: Among the criteria in discography to determine it as positive, 8 studies used only the pain response to the procedure, 28 studies used more than one criterion during discography to consider it as positive, the evaluation of at least one adjacent intervertebral disc with a negative result was necessary in 26 studies to consider a discography as positive. Five studies formally expressed the use of the technique described by SIS/IASP to determine a discography as positive. Conclusions: Pain in response to contrast medium injection, assessed with the visual analog pain scale ≥ 6, was the most used criterion in the studies included in this review. Although there are already criteria to determine a discography as positive, the use of different techniques and interpretations of discography findings to determine a positive discography for low back pain of discogenic origin persists.

KW - Discogenic pain

KW - Discogram

KW - Discography

KW - Intervertebral disc

KW - Low back pain

KW - Spine

UR - https://www.scopus.com/pages/publications/85151395496

UR - https://www.mendeley.com/catalogue/aea94d7d-d2a2-3841-a743-44be8777b962/

U2 - 10.1016/j.recot.2023.03.006

DO - 10.1016/j.recot.2023.03.006

M3 - Article

AN - SCOPUS:85189954532

SN - 1888-4415

VL - 68

SP - 209

EP - 222

JO - Revista Espanola de Cirugia Ortopedica y Traumatologia

JF - Revista Espanola de Cirugia Ortopedica y Traumatologia

IS - 3

ER -

Frequency of use of discography findings for the diagnosis of low back pain of discogenic origin. Systematic review of the literature

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