Fissuring of the posterior annulus fibrosus in the lumbar spine

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Abstract
Severe back-ache in young adults may present a difficult clinical problem when the absence of neurological signs results in delayed diagnosis. Patient (14), with discographic evidence of posterior annular fissuring are reported. The discrepancy between painful disability and negative radiographic examination including radiculography is stressed. Discography was the investigation of choice in these patients. This demonstrates the morphology of the lesion and reproduces the symptomatology in the majority of cases. The clinical implications are discussed.