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 .
Outcome Analyses of Interbody Titanium Cage Fusion Used in the Anterior Discectomy for Cervical Degenerative Disc Disease
Anterior discectomy and fusion to treat cervical degenerative disc disease is the preferred procedure for many spine surgeons . The ideal device for structural reconstruction of the anterior cervical spine remains controversial . The purpose of this prospect i ve study was to investigate the effectiveness of a non-threaded titanium cage in performing anterior spinal fusion for cervical degenerative disc disease . The clinical and radiologic data of 78 consecutive patients were review ed . Neurologic outcome was assessed using Odom 's criteria . Neck pain was grade d using a 10-point visual analog scale . The cervical spinal curvature , the height of foramina , and fusion status were evaluated on preoperative and postoperative radiographs . Mean follow-up was 24.9 ( range 18 - 35 ) months . An excellent or good result was found in 92 % of the patients with radiculopathy , 69 % of those with myelopathy , and 73 % of those with myeloradiculopathy . Statistical analyses also showed improvement of cervical pain after surgery ( P < 0.001 ) and a significant increase in foraminal height ( P = 0.035 ) . Cervical kyphosis was present in 27 ( 34 % ) patients before surgery ; it was corrected to lordosis in 9 . The fusion rate at 12 months and 24 months was 91 % and 95 % , respectively . No surgery or cage-related complication occurred in these patients . Non-threaded interbody cage fusion in this study achieved a high fusion rate and had a good neurologic outcome . These results suggest that non-threaded cage fusion is a safe and effective method for anterior cervical discectomy
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 .