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 .
Lumbar disk replacement with the ProDisc prosthesis.
Twenty-two ProDisc II prostheses ( Spine Solutions , New York , New York ) were implanted in 21 patients with degenerative disk disease at L5-S1 ( 19 disks ) and L4-L5 ( 3 disks ) . After mean follow-up of 3.1 years ( range , 17 - 49 months ) , pain intensity in all but 3 patients had improved from an average of 7.7 preoperatively to 4.6 postoperatively ( P < .001 ) on a visual analog scale . Average Oswestry Disability Index score improved from 61 to 35 ( P < .001 ) . Radiographic reconstruction of the disk space height was achieved in all cases . Previous diskectomy at the implanted level and disk degeneration adjacent to previous fusion negatively influenced the results
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 .