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Abstract
One hundred consecutive cases have been analyzed in which hospital work-up, including
myelogram, has been carried out prior to disc operation. Negative operative findings
were present in 4 patients.
Over-all accuracy of the lumbar myelogram was found to be only 60 per cent. In 12
cases there were relatively unimportant discrepancies, but in 28 cases major discrepancies
were found. This confirms our previous impression that a negative myelogram should
not contraindicate the performance of disc surgery when symptoms and physical findings
indicate operation. Nor is it necessary to subject the patient to myelography when
the history, clinical course, and physical findings definitely indicate a disc lesion
and the surgeon is able to determine the approximate location of the abnormal disc.
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References
- An Evaluation of Myelography in the Diagnosis of Intervertebral-Disc Lesions in the Low Back.J. Bone & Joint Surg. 1950; 32-A: 257-266
- An Evaluation of Myelography in the Diagnosis of Intervertebral-Disc Lesions in the Low Back.J. Bone & Joint Surg. 1950; 32-A: 306
- Myelography in Lumbar Inter vertebral Disk Lesions. A Correlation With Operative Findings.Brit. J. Surg. 1946; 34: 141-157
- The Roentgenologic Diagnosis of Intraspinal Protrusion of Intervertebral Disks by Means of Radiopaque Oil.J. A. M. A. 1939; 113: 2024-2049
- Myelography by the Use of Pantopaque in the Diagnosis of Herniations of the Intervertebral Discs.Am. J. Roentgenol. 1945; 53: 319-340
- Discrepancies in Myelography, Statistical Survey of 200 Operative Cases Undergoing Pantopaque Myelography.Surg., Gynec., & Obst. 1948; 86: 559-564
Article info
Publication history
Received:
April 9,
1952
Identification
Copyright
© 1952 Published by Elsevier Inc.
