I have started doing lumbar discograms again (using ISIS guidelines). Did a bunch in fellowship but its been a few years.
My last 3 patient's have had positive concordant pain during provocation. On post CT they all had full thickness annular tears with contrast extravasation into the epidural space.
How common is it to have full thickness tear after a provocative discogram? Is there any data on this? I did find one older study but this was dated...
I am a little surprised about having 100% of my patients with full thickness tears and wanted to hear about others experiences. My samples size is small though.....
My last 3 patient's have had positive concordant pain during provocation. On post CT they all had full thickness annular tears with contrast extravasation into the epidural space.
How common is it to have full thickness tear after a provocative discogram? Is there any data on this? I did find one older study but this was dated...
I am a little surprised about having 100% of my patients with full thickness tears and wanted to hear about others experiences. My samples size is small though.....