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 .
Minimally invasive total disc replacement: surgical technique and preliminary clinical results
Abstract . Total disc replacement has become an option for the treatment of degenerative disc disease of the lumbar spine . A new generation of implants has been developed that can be implanted through minimally invasive anterior approaches to the lumbar levels L2/3 , L3/4 , L4/5 and L5/S1 . However mid- and long-term data are still lacking . This paper describes the minimally invasive surgical approach – techniques as well as the preliminary results of our first 34 consecutive patients . The intervertebral spaces L5/S1 , L4/5 , L3/4 and L2/3 were each approached through slightly different , but st and ardized , mini-laparotomies either through a retroperitoneal or a transperitoneal route . The clinical results with a follow-up of up to 1 year show satisfactory outcomes in about 80 % of the patients . Oswestry score as well as VAS values show significant changes during the postoperative course . There have been three complications ( 8.8 % ) , two of which were specific to the implantation process , but were resolved with a good clinical outcome in both patients . The preliminary results suggest that total disc replacement may become a reasonable alternative to spinal fusion under the selection criteria used in this study
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 .