A digitizing technique for the study of movement of intradiscal dye in response to flexion and extension of the lumbar spine

Spine (Phila Pa 1976). 1988 Mar;13(3):309-12. doi: 10.1097/00007632-198803000-00014.

Abstract

The effects of flexion and extension exercises on lumbar discs and low-back pain are controversial. Our goals were to develop a technique and program for digitizing and analyzing discograms and to study the motion of intradiscal dye in response to flexion and extension. Thirty-five patients following awake discography were evaluated with lateral radiographs obtained in an extension position and a flexion position. Fifty-three segments with normal morphology and 47 segments with abnormal morphology were studied. Discograms with normal morphology showed numerically significant change in position with a more anterior position occurring during extension. Changes in the position of intradiscal dye in discs with abnormal morphology were less predictable. Digitizing was an advantageous technique.

MeSH terms

  • Adult
  • Back Pain / diagnostic imaging
  • Back Pain / physiopathology
  • Coloring Agents
  • Diagnosis, Computer-Assisted*
  • Humans
  • Intervertebral Disc / diagnostic imaging
  • Intervertebral Disc / physiology*
  • Lumbosacral Region
  • Movement*
  • Radiography
  • Spine / diagnostic imaging
  • Spine / physiology*

Substances

  • Coloring Agents