THE ROLE OF DISCOGRAPHY IN LUMBAR-DISK DISEASE - A COMPARATIVE-STUDY OF MAGNETIC-RESONANCE-IMAGING AND DISCOGRAPHY
THE ROLE OF DISCOGRAPHY IN LUMBAR-DISK DISEASE - A COMPARATIVE-STUDY OF MAGNETIC-RESONANCE-IMAGING AND DISCOGRAPHY
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DOI：
10.1016/s0009-9260(05)82113-0
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发表时间：
1990-10-01
影响因子：
2.6
通讯作者：
ENNIS, JT
中科院分区：
文献类型：
--
作者：
COLLINS, CD;STACK, JP;ENNIS, JT
本研究前瞻性回顾了29例接受磁共振成像（MRI）和椎间盘造影检查的退行性椎间盘疾病患者。所有患者均有持续性腰痛和非诊断性初步检查，包括平片、脊髓造影和/或计算机断层扫描（CT）。在73个椎间节段中，65个节段的影像学特征与退行性椎间盘疾病相关。所有有症状的椎间盘在MRI和椎间盘造影上均退变。回顾性评估退行性椎间盘疾病的MRI特征，以确定椎间盘造影定义的症状水平。MRI不能可靠地检测该节段，特别是在多节段退行性椎间盘疾病患者中。椎间盘造影时症状的阳性再现是手术的标准。本组所有12例患者均行后路脊柱融合术。9个改善，3个不变。在与椎间盘退变相关的辅助特征中，只有膨出的纤维环在MRI上被证明有价值。尽管如此，MRI应作为该患者组的主要研究，因为它可以显著减少需要注射的椎间盘节段数量。
This study reviews prospectively a series of 29 patients who were examined by magnetic resonance imaging (MRI) and discography for degenerative disc disease. All had persistent low-back pain and non-diagnostic initial investigations, including plain films, myelography and/or computed tomography (CT). The imaging characteristics for degenerative disc disease correlated in 65 out of 73 intervertebral levels. All symptomatic discs were degenerate on both MRI and discography. Features of degenerative disc disease on MRI were assessed retrospectively, with a view to identifying the symptomatic level as defined by discography. MRI could not reliably detect this level, particularly in those with multi-level degenerative disc disease. Positive reproduction of symptoms at discography was the criteria used for surgery. All 12 patients in this group had posterior spinal fusion performed. Nine improved and three were unchanged. Of the ancillary features associated with disc degeneration, only a bulging annulus fibrosis proved to be of any value on MRI. Nonetheless, MRI should be used as the primary investigation in this patient group as it can lead to a marked reduction in the number of disc levels requiring injection.