{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T23:08:26Z","timestamp":1782601706189,"version":"3.54.5"},"reference-count":25,"publisher":"Georg Thieme Verlag KG","issue":"01","license":[{"start":{"date-parts":[[2022,9,27]],"date-time":"2022-09-27T00:00:00Z","timestamp":1664236800000},"content-version":"vor","delay-in-days":3862,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Asian J Neurosurg"],"published-print":{"date-parts":[[2012,3]]},"abstract":"<jats:p>\n          Objectives: A prospective study of 80 patients suffering from sciatica was conducted at Fauji Foundation Hospital, Rawalpindi, Pakistan. The aim of this study was to select patients for lumbar myelography on clinical grounds in the absence of magnetic resonance imaging (MRI)\/computerized tomography (CT) facilities and to know the causes of sciatica. Materials and Methods: All patients underwent conventional lumbar myelography due to lack of MRI facility at a local hospital as well as financial constraints. Myelography was done with radio-opaque dye, Iopamidol , on outpatient basis. Results: Lumbar myelograms were positive in 77.5% and negative in 22.5% cases. Minor complications in the form of headache developed in 32.5% patients but no major complication like meningitis and archnoiditis developed. Lumbar disc prolapse and stenosis were found to be common causes of sciatica. Non-filling of nerve roots was seen in 33.87%, blocks (complete\/partial) in 54.83%, and stenosis in 11.29% patients. Conclusions: Conventional myelography was found to be safe and an informative diagnostic technique in areas where facility of high-tech investigations like CT\/MRI was not available. Conventional lumbar myelography could be recommended and performed with confidence on outdoor basis, in cases of sciatica with positive straight leg raising test, reflex loss, sensory, or motor deficit.<\/jats:p>","DOI":"10.4103\/1793-5482.95693","type":"journal-article","created":{"date-parts":[[2012,5,4]],"date-time":"2012-05-04T11:58:44Z","timestamp":1336132724000},"page":"25-28","source":"Crossref","is-referenced-by-count":4,"title":["Role of conventional lumbar myelography in the management of sciatica: An experience from Pakistan"],"prefix":"10.1055","volume":"7","author":[{"given":"Ahmed","family":"Bakhsh","sequence":"additional","affiliation":[{"name":"Department of Neurosciences, Saad Specialist Hospital, Al-khobar"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2022,9,27]]},"reference":[{"key":"key-10.4103\/1793-5482.95693-1","first-page":"717","volume-title":"Diagnosis of lumbar disc protrusion.A comparison between magnetic resonance imaging and radiculography","author":"Szypryt","year":"1988","journal-title":"J Bone Joint Surg Br"},{"key":"key-10.4103\/1793-5482.95693-2","first-page":"114","volume-title":"The use of radiographic imaging studies in the evaluation of patients who have degenerative disorders of the lumbar spine","author":"Boden","year":"1996","journal-title":"J Bone Joint Surg Am"},{"key":"key-10.4103\/1793-5482.95693-3","first-page":"227","volume-title":"Lumbar disk herniation: Diagnosis with CT or myelography","author":"Schipper","year":"1987","journal-title":"Radiology"},{"key":"key-10.4103\/1793-5482.95693-4","first-page":"101","volume-title":"Computed tomography of spinal cord after lumbar intrathecal introduction of metrizamide (computer-assisted myelography)","author":"Di","year":"1976","journal-title":"Radiology"},{"key":"key-10.4103\/1793-5482.95693-5","first-page":"768","volume-title":"Myelography complications and current practice patterns","author":"Sandow","year":"2005","journal-title":"AJR Am J Roentgenol"},{"key":"key-10.4103\/1793-5482.95693-6","doi-asserted-by":"crossref","unstructured":"Thornbury JR, Fryback DG, Turski PA, Javid MJ, McDonald JV, Beinlich BR, et al. Disk-caused nerve compression in patients with acute low-back pain: Diagnosis with MR, CT myelography, and plain CT. Radiology 1993;186:731-8.","DOI":"10.1148\/radiology.186.3.8267688"},{"key":"key-10.4103\/1793-5482.95693-7","first-page":"604","volume-title":"Myelography in spinal disorders-experience of 1400 cases","author":"Akbar","year":"2004","journal-title":"J Pak Med Assoc"},{"key":"key-10.4103\/1793-5482.95693-8","first-page":"i42","volume-title":"Surgical disorders of the thoracic and lumbar spine: A guide for neurologists","author":"Patel","year":"2002","journal-title":"J Neurol Neurosurg Psychiatry"},{"key":"key-10.4103\/1793-5482.95693-9","first-page":"169","volume-title":"The value of accurate clinical assessment in the surgical management of the lumbar disc protrusion","author":"Kerr","year":"1988","journal-title":"J Neurol Neurosurg Psychiatry"},{"key":"key-10.4103\/1793-5482.95693-10","first-page":"218","volume-title":"The use of computerized tomography in evaluating non-visualized vertebral levels caudad to a complete block on a lumbar myelogram.A review of thirty-two cases","author":"Herkowitz","year":"1987","journal-title":"J Bone Joint Surg Am"},{"key":"key-10.4103\/1793-5482.95693-11","first-page":"757","volume-title":"Lumbar herniated disk disease and canal stenosis: Prospective evaluation by surface coil MR, CT, and myelography","author":"Modic","year":"1986","journal-title":"AJR Am J Roentgenol"},{"key":"key-10.4103\/1793-5482.95693-12","first-page":"298","volume-title":"Myelography: Still the gold standard","author":"Miller","year":"2003","journal-title":"AJNR Am J Neuroradiol"},{"key":"key-10.4103\/1793-5482.95693-13","first-page":"240","volume-title":"Role of computed tomography and myelography in the diagnosis of central spinal stenosis","author":"Bolender","year":"1985","journal-title":"J Bone Joint Surg Am"},{"key":"key-10.4103\/1793-5482.95693-14","first-page":"348","volume-title":"Lumbar root compression in the lateral recess: MR imaging, conventional myelography, and CT myelography comparison with surgical confirmation","author":"Bartynski","year":"2003","journal-title":"AJNR Am J Neuroradiol"},{"key":"key-10.4103\/1793-5482.95693-15","first-page":"193","volume-title":"Correlation of the myelogram with clinical and operative findings in lumbar disc lesions","author":"Lansche","year":"1960","journal-title":"J Bone Joint Surg Am"},{"key":"key-10.4103\/1793-5482.95693-16","first-page":"257","volume-title":"An evaluation of myelography in the diagnosis of intervertebral-disc lesions in the low back.J Bone Joint Surg Am","author":"Ford","year":"1950","journal-title":""},{"key":"key-10.4103\/1793-5482.95693-17","first-page":"709","volume-title":"Bulging lumbar intervertebral disk: Myelographic differentiation from herniated disk with nerve root compression","author":"Kieffer","year":"1982","journal-title":"AJR Am J Roentgenol"},{"key":"key-10.4103\/1793-5482.95693-18","first-page":"99","volume-title":"Sciatica of nondisc origin and piriformis syndrome: Diagnosis by magnetic resonance neurography and interventional magnetic resonance imaging with outcome study of resulting treatment","author":"Filler","year":"2005","journal-title":"J Neurosurg Spine"},{"key":"key-10.4103\/1793-5482.95693-19","doi-asserted-by":"crossref","unstructured":"Fairbank J. Prolapsed intervertebral disc. 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