Abstract

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.21Discography, devised by Lindblom,14-20eliminates some of these difficulties and is more accurate as an indicator of intervertebral disc pathology.1-5,9,24,26It gives information that myelography cannot,1,2,5,9e.g., lateral disc. Furthermore, minimal routine x-ray changes are more easily evaluated and correlated with the patient's symptomatology. Discography is not the

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