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. 1974 May;120(5):353–357.

Conservative and Surgical Aspects of Disc Lesion Management

Follow-Up Review of 244 Cases

Leslie Blau 1,2,3, Leon Kent 1,2,3
PMCID: PMC1130137  PMID: 4839479

Abstract

A follow-up study of 244 patients who were admitted to hospital with the diagnosis of discogenic disease between 1963 and 1970 was conducted to determine more precisely when conservative care should stop and a myelogram study followed by surgical decompression should be considered.

The number of patients who had electromyography was separately tabulated and totaled (154). Of these, 87 (56.5 percent) had normal and 67 (43.5 percent) abnormal findings. It is significant that 29 of the total had positive myelograms and operation, yet 16 (59 percent) of the 29 had normal electromyograms. This raises a question about how much confidence to place in negative electromyographic findings when deciding for or against surgical operation. However, negative electromyograms are very helpful in reassuring patients who are emotional and resistant to resuming useful activities.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Brady L. P., Parker L. B., Vaughen J. An evaluation of the electromyogram in the diagnosis of the lumbar-disc lesion. J Bone Joint Surg Am. 1969 Apr;51(3):539–547. [PubMed] [Google Scholar]
  2. Johnson E. W., Melvin J. L. Value of electromyography in lumbar radiculopathy. Arch Phys Med Rehabil. 1971 Jun;52(6):239–243. [PubMed] [Google Scholar]
  3. de Coul A. A., Lie T. A. A comparative electromyographic study before and after operations for protruded lumbar disc. Electromyography. 1970 May-Aug;10(2):193–199. [PubMed] [Google Scholar]

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