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Library

Buy Phenergan Without Prescription 2009

General Spine


Buy phenergan without prescription, Aseem Sharma, MD,

Thomas Pilgram, PhD, Non ASSR Member

Matthew S. Parsons, order phenergan online overnight delivery no prescription, Phenergan from canadian pharmacy, MD, Non ASSR Member


Scientific Paper


Mentor Award: No



Institution where work was conducted


Washington University School of Medicine


Affiliation and Department


Mallinckrodt Institute of Radiology, buy cheap phenergan no rx, Online buy phenergan without a prescription, Washington University School of Medicine


Address


Box 8131

510 S KingsHighway Blvd

St. Louis, where can i buy cheapest phenergan online, Japan, craiglist, ebay, overseas, paypal, Missouri

63110

Phone: 314 362-5950, Fax: 314 362-4886

Email: sharmaa@mir.wustl.edu



Purpose


Association of nuclear degeneration with annular tears is well known, phenergan over the counter, Order phenergan no prescription, based on the studies mainly including the adult population (1-3). We intended to study this association in pediatric population, phenergan price, Australia, uk, us, usa, to better understand the natural history of disc degeneration in its early stages. Our hypothesis was that even at a young age, buy phenergan no prescription, Buy no prescription phenergan online, nuclear degeneration is associated with annular tears. We also hypothesized that the distribution of nuclear degeneration in discs with and without annular tears will suggest that annular tears precede nuclear degeneration.



Methods & Materials


Twenty six patients with back pain and reported annular pathology (annular tears/ disc herniation) were identified from the radiology report data base of our pediatric hospital, buy phenergan without prescription. Two neuroradiologists independently evaluated intervertebral discs between T12 and S1 segments in these images, where can i buy phenergan online. Buy phenergan without a prescription, One reader assessed these discs for presence of annular tears, and characterized the tears as radial or non-radial, buy generic phenergan. Buy cheap phenergan, The other reader evaluated the discs for extent of nuclear degeneration. The extent of loss of signal intensity of the central aspect of discs on T2-weighted turbo spin echo images was graded on an ordinal scale, rx free phenergan. Buy phenergan without prescription, In addition, degeneration scale suggested by Pfirrmann et al was used to assess the extent of nuclear degeneration. Buy cheap phenergan no rx,

The first hypothesis was tested by comparing mean nuclear degeneration grades for discs with radial tears, with non-radial tears, buy phenergan from mexico, Buy no prescription phenergan online, and without annular tears; and testing these differences for statistical significance with the Wilcoxon test. The second hypothesis was tested indirectly by observing the distribution of annular tears and the nuclear degeneration grades in the study population.



Results


The study group included 8 males and 18 females, canada, mexico, india, Order phenergan no prescription, with ages ranging from 8 years to 21 years (mean 15.5 +/- 2.9 years). Annular tears were present in 94/156 (60%) discs, phenergan from canadian pharmacy, Order phenergan online c.o.d, with radial tears accounting for 59.6% (56/94) of all tears. Discs with radial tears demonstrated a mean signal intensity grade of 3.4 +/- 1.36 and a mean degeneration grade of 3.2 +/-0.89, buy phenergan online cod. Both these grades were significantly higher when compared to corresponding values of 1.32 +/- 0.53 and 1.61 +/- 0.58 respectively for discs without annular tears (p<0.0001), buy phenergan without prescription. Phenergan over the counter, No significant differences in signal intensity and degeneration grades were observed between discs with intact annulus and those with non-radial tears. The distribution of nuclear degeneration grades revealed a paucity of discs showing advanced nuclear degeneration in the absence of annular tears, phenergan samples. Phenergan coupon, Only 4.2% (2/47) discs with signal intensity grade higher than two were without any evident annular tear. In contrast, phenergan for sale, Where can i order phenergan without prescription, annular tears were seen in 44.9% (49/109) discs with signal intensity grade of two or less.



Conclusion


In children, nuclear degeneration is significantly associated with presence of radial annular tears, order phenergan online overnight delivery no prescription, Order phenergan from mexican pharmacy, and rarely occurs in the absence of annular tears. Buy phenergan without prescription, Annular tears on the other hand, can often be seen in the absence of any overt signs of nuclear degeneration, suggesting their earlier appearance in the natural history of disc degeneration.



References


1. Milette PC, buy phenergan from canada, Australia, uk, us, usa, Fontaine S, Lepanto L, japan, craiglist, ebay, overseas, paypal, Cardinal E, Breton G. Differentiating lumbar disc protrusions, disc bulges, and discs with normal contour but abnormal signal intensity. Magnetic resonance imaging with discographic correlations. Spine. Jan 1 1999;24(1):44-53, buy phenergan without prescription.

2. Yu S, Haughton VM, Sether LA, Ho KC, Wagner M. Criteria for classifying normal and degenerated lumbar intervertebral disks. Radiology. Buy phenergan without prescription, Feb 1989;170(2):523-526.

3. Sharma A, Pilgram T, Wippold FJ II. Association between anular tears and disc degeneration: A longitudinal study. AJNR. In Press.

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