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Hart DJ – Here, the author reviews the historical evolution of spinal discography and recent literature focused on the role of provocative discography in evaluating patients with neck pain and/or lower back pain. Currently available literature pertinent to this issue is summarized for lumbar, cervical, and thoracic discography. Many worthwhile studies are omitted from this literature review only to focus on those that relate directly to evaluating discography's role in screening potential patients for surgical intervention. The use of discography to identify patients for interventional pain procedures is not evaluated. How recent technology in spine surgery has affected current usage of discography is then reviewed. The author concludes by summarizing his current practice and opinions regarding discography.

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