RESULTS The results of this review confirm and help quantify the significant differences that existed in the terminology and all the areas of diagnosis and treatment of presumed discogenic pain .
Our findings show that suspected discogenic pain , despite its extensive affirmation in the literature and enormous re sources regularly devoted to it , currently lacks clear diagnostic criteria and uniform treatment or terminology
BACKGROUND CONTEXT Pain innate to intervertebral disc , often referred to as discogenic pain , is suspected by some authors to be the major source of chronic low back and neck pain .
Current management of suspected discogenic pain lacks st and ardized diagnosis , treatment , and terminology .
PURPOSE In an attempt to determine whether patterns existed that may facilitate st and ardization of care , we sought to analyze the terminologies used and the various modes of diagnosis and treatment of suspected discogenic pain .
Cervical disc arthroplasty: a controlled randomized prospective study with intermediate follow-up results. Invited submission from the joint section meeting on disorders of the spine and peripheral nerves, March 2005.
OBJECT The authors of studies of anterior cervical fusion for disc-related disease have documented satisfying clinical results and infrequent complications . Recently , cervical disc arthroplasty has entered clinical trials as an alternative to fusion . Although the results of anecdotal reports and prospect i ve studies support this procedure , these studies have not conferred the validity of a controlled r and omized study . In the present study , the author presents data obtained in such a study . METHODS After symptoms failed to respond to conservative therapy , 46 patients with one-level discogenic cervical radiculopathy and /or myelopathy were r and omized to undergo arthroplasty or fusion as part of a US Food and Drug Administration medical device study . In all patients there was a minimum follow-up duration of 1 year . Equivalent results for the relief of arm pain and neck pain were noted in both treatment groups . Treatment parameters other than operative time were similar . No neurological or serious systemic complications occurred . CONCLUSIONS Although extended follow-up data and larger patient population s are needed , the results of this study indicate that arthroplasty is a viable alternative to cervical fusion
RESULTS The results of this review confirm and help quantify the significant differences that existed in the terminology and all the areas of diagnosis and treatment of presumed discogenic pain .
Our findings show that suspected discogenic pain , despite its extensive affirmation in the literature and enormous re sources regularly devoted to it , currently lacks clear diagnostic criteria and uniform treatment or terminology
BACKGROUND CONTEXT Pain innate to intervertebral disc , often referred to as discogenic pain , is suspected by some authors to be the major source of chronic low back and neck pain .
Current management of suspected discogenic pain lacks st and ardized diagnosis , treatment , and terminology .
PURPOSE In an attempt to determine whether patterns existed that may facilitate st and ardization of care , we sought to analyze the terminologies used and the various modes of diagnosis and treatment of suspected discogenic pain .