Examens d'imagerie dans la pathologie lombaire dégénérative

EMC - Rhumatologie-Orthopédie Pub Date : 2004-09-01 DOI:10.1016/j.emcrho.2004.06.002

J.-L. Drapé (Professeur des Universités, praticien hospitalier), F. Bach (Chef de clinique à la Faculté, radiologiste des hôpitaux de Paris), H. Guerini (Chef de clinique à la Faculté, radiologiste des hôpitaux de Paris), S. Malan (Chef de clinique à la Faculté, radiologiste des hôpitaux de Paris), L. Sarazin (Attaché, radiologiste des hôpitaux de Paris), A. Chevrot (Professeur des Universités, praticien hospitalier)

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引用次数: 2

Abstract

The high frequency and the low clinical correlation of the degenerative lumbar spine abnormalities depicted on imaging complicate the reading of radiological examinations. The dynamic characteristics and the weight-bearing of the spine provide important information but remain reserved to radiography. In case of spinal stenosis, computed tomography is the gold standard to differentiate the “soft” and the osseous compressive components. These last years, MRI was helpful in understanding the degenerative disk phenomena and the associated bone abnormalities. MRI is also the unique imaging technique to evaluate fluids (CSF, zygapophyseal effusions and cysts, interspinous bursae). These modern imaging techniques have considerably reduced the indications for discography and myelography. Henceforth MRI is the gold standard imaging technique for the postoperative lumbar spine.

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腰椎退行性疾病的影像学检查

腰椎退行性异常在影像学上的高频率和低临床相关性使影像学检查的解读复杂化。脊柱的动态特性和负重提供了重要的信息，但仍保留给x线摄影。在椎管狭窄的情况下，计算机断层扫描是区分“软”和骨性压缩成分的金标准。近年来，MRI有助于了解椎间盘退行性现象和相关的骨异常。MRI也是评估液体(脑脊液、颧骨积液和囊肿、棘间囊)的独特成像技术。这些现代成像技术大大减少了椎间盘造影和脊髓造影的适应症。从此以后，MRI成为腰椎术后的金标准成像技术。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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EMC - Rhumatologie-Orthopédie

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