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Radiology, Vol 134, 127-132, Copyright © 1980 by Radiological Society of North America


ARTICLES

Prospective comparison of epidural venography and iophendylate myelography in the diagnosis of herniated lumbar disks

PR Lotz, JF Seeger and TO Gabrielsen

Fifty consecutive patients with suspected herniated nucleus pulposus at L4-5 or L5-S1 were evaluated prospectively with both epidural venography and iophendylate myelography. The two procedures were compared with respect to diagnostic accuracy, ease of performance, and complications. Evaluation of both the L4-5 and L5-S1 disk space levels was attempted in every patient, for a total of 100 levels. Surgical confirmation was obtained for 37 levels in 30 patients. While epidural venography is useful, myelography remains the procedure of choice.





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