PMID: 8948252Oct 1, 1996Paper

Pain patterns in lumbar disc hernia Drawings compared to surgical findings in 159 patients

Acta Orthopaedica Scandinavica
H BrismarO Svensson

Abstract

We compared preoperative pain-drawing patterns of 159 patients with findings at lumbar disc surgery. Disc pathology was classified into 2 groups: intact anulus (negative exploration and protruding disc) and ruptured anulus (subligamentary perforation and sequestrated hernia). Patients with intact anulus drew fewer modalities, but more often marked pain in the trunk, neck and upper extremities, than those with ruptured anulus. Certain pain-drawing patterns--e.g., extra text, arrows and nonanatomical pain distribution--have previously been shown to correlate to unfavorable pathological traits in psychometric tests in populations of patients with chronic low back pain. In our study, most of these so-called nonorganic pain-pattern items occurred equally often in the 2 groups. In fact, one third of the patients with ruptured anulus produced pathological drawings according to the scoring system designed by Ransford et al. (1976). Although pain drawings help the investigator to obtain a rapid overview of the patient's pain pattern, the use of penalty points as a preoperative psychological screening instrument in patients with pain that is not chronic may be questioned.

References

Feb 1, 1979·Neurosurgery·E L Cashion, W J Lynch
Apr 1, 1988·Spine·A UdénH Bergenudd
Nov 1, 1982·Spine·L D Herron, H C Pheasant

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Citations

May 21, 2003·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Thomas AndersenCody Bünger
Apr 10, 2007·The Journal of Orthopaedic and Sports Physical Therapy·Steven Z GeorgeMichael E Robinson
Apr 1, 1997·Acta Orthopaedica Scandinavica·A Udén
Apr 28, 2010·The Spine Journal : Official Journal of the North American Spine Society·Thomas AndersenCody Bünger
Nov 24, 2004·The Journal of Pain : Official Journal of the American Pain Society·Robert N JamisonJohn C Baird
Apr 23, 2015·Asian Spine Journal·Krishnapundha BunyaratavejSurachai Khaoroptham
Jun 24, 2016·Pain Practice : the Official Journal of World Institute of Pain·Philipp HüllemannRalf Baron
Nov 17, 2006·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Hiroyuki NakagawaTadaatsu Miyasaka
Oct 27, 2020·Journal of Medical Internet Research·Maria Galve VillaShellie A Boudreau
Nov 18, 2020·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Nalini SehgalMiroslav Misha Backonja

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