Abstract

Identifying the primary source of pain in patients with low back pain is challenging in many patients, despite advanced imaging techniques. Often, multiple levels will show some degree of degenerative disc disease (DDD) on imaging, and determining which level(s) should be treated is difficult. In these patients with questionable pathology, provocative discography is often performed. However, the use of discography to diagnose “discogenic pain” remains a highly controversial topic in spine surgery and radiology communities.

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