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Diskography 椎间盘造影术
APS Journal
Pub Date : 1994-09-01 DOI: 10.1016/S1058-9139(05)80308-0
Nikolai Bogduk

Lumbar diskography is not a test for disk herniation. It is a test for intrinsically painful, externally intact disks and so does not compete with computed tomography as a diagnostic instrument. Formal studies have shown that the lumbar disks are innervated and can be a source of pain that has pathomorphologic correlates. The biological basis for lumbar diskography, therefore, resists criticism. Cervical diskography, however, lacks the same biological basis and remains open to criticism. Utility is the weak point of both lumbar and cervical diskography. Although both provide diagnostic information, it remains to be shown that this information makes a difference to outcome when treatment is direct to the ostensibly painful disk.

腰椎间盘造影不是椎间盘突出的检查。它是一种对内在疼痛、外部完整的椎间盘的测试，因此不能与计算机断层扫描作为诊断工具相竞争。正式研究表明腰椎间盘受神经支配，可能是病理形态学相关的疼痛来源。因此，腰椎椎间盘造影的生物学基础不容置疑。然而，颈椎椎间盘造影缺乏相同的生物学基础，仍然存在争议。实用性是腰椎和颈椎椎间盘造影的弱点。虽然两者都提供了诊断信息，但当治疗直接针对表面疼痛的椎间盘时，这些信息对结果的影响仍有待证实。
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引用次数: 0
《慢性疲劳综合症:边缘假说》，J.S. Goldstein著。霍沃斯出版社，巴尔的摩(1993)，259页，平装本49.95美元，精装本89.95美元
APS Journal
Pub Date : 1994-09-01 DOI: 10.1016/S1058-9139(05)80326-2
John D. Loeser MD (professor of neurological surgery and anesthesiology and director of the Multidisciplinary Pain Center)
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引用次数: 0
Regional section news 地区新闻
APS Journal
Pub Date : 1994-09-01 DOI: 10.1016/S1058-9139(05)80323-7
Sridhar V. Vasudevan
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引用次数: 0
IASP global news IASP全球新闻
APS Journal
Pub Date : 1994-09-01 DOI: 10.1016/S1058-9139(05)80324-9
Louisa E. Jones
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引用次数: 0
Rebuttal 反驳
APS Journal
Pub Date : 1994-09-01 DOI: 10.1016/S1058-9139(05)80313-4
Nikolai Bogduk
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引用次数: 0
The diskography dilemma 磁盘设计困境
APS Journal
Pub Date : 1994-09-01 DOI: 10.1016/S1058-9139(05)80309-2
Stephen I. Esses
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引用次数: 1
15 years of explorations in some supraspinal structures in rat inflammatory pain models 大鼠炎性疼痛模型棘上部分结构的15年探索
APS Journal
Pub Date : 1994-09-01 DOI: 10.1016/S1058-9139(05)80314-6
Gisèle Guilbaud

The focus article summarizes electrophysiological data obtained with systematic recordings in supraspinal central nervous system structures (essentially thalamus and somatosensory cortex) of rat models of inflammatory pain (rats rendered poly-arthritic by injection of Freund's) adjuvant into the tail or injected with carrageenin into one hind-paw). The study has been performed in parallel with behavioral and pharmacological tests to emphasize the functional value of the neuronal response.

重点文章总结了通过系统记录炎性疼痛大鼠模型(尾巴注射弗氏佐剂或后爪注射卡拉胶致多发关节炎大鼠)椎上中枢神经系统结构(主要是丘脑和体感皮层)的电生理数据。该研究与行为和药理学测试同时进行，以强调神经元反应的功能价值。
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引用次数: 6
The futility of physical testing in the assessment of disability 身体测试在残疾评估中的无用性
APS Journal
Pub Date : 1994-09-01 DOI: 10.1016/S1058-9139(05)80317-1
Richard L. Stieg

Although medical opinions are widely utilized, disability is ultimately a legal and not a medical determination. In individuals with complex medical problems, particularly those claiming disability in relation to chronic pain, tests of physical functioning alone have little utility in either predicting ultimate disability or in accurately assessing its presence. In this population, psychosocial factors appear to be more significant determinants of disability. Appropriate assessment, therefore, calls for multidisciplinary intervention by experienced professionals.

虽然医学意见被广泛采用，但残疾最终是一种法律而非医学决定。对于有复杂医疗问题的个人，特别是那些声称与慢性疼痛有关的残疾的人，单独的身体功能测试在预测最终残疾或准确评估其存在方面几乎没有用处。在这一人群中，社会心理因素似乎是残疾的更重要决定因素。因此，适当的评估需要有经验的专业人员进行多学科干预。
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引用次数: 4
Use of disk distension to diagnose pain of spinal origin 利用椎间盘膨胀诊断脊柱源性疼痛
APS Journal
Pub Date : 1994-09-01 DOI: 10.1016/S1058-9139(05)80310-9
James N. Campbell, Allan J. Belzberg
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引用次数: 1
Basic requirements for utility in the assessment of physical disability 评估身体残疾的基本要求
APS Journal
Pub Date : 1994-09-01 DOI: 10.1016/S1058-9139(05)80319-5
PhD Leonard N. Matheson
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引用次数: 7
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