Journal List > J Korean Soc Spine Surg > v.8(3) > 1035958

Suh: Image Study of the Lumbar Spine

Abstract

Low back pain is one of the most common disorders during the lives in general population. When it is persistent for a long time without relief or aggravated, or accompanied with neurological signs such as weakness or radiculopathy, the imaging studies are required. Discogenic disease and facet joint disease are the common causes developing back pain. Other diseases should be included in the differential diagonsis, for example, spondylolysis, spondylolisthesis, congenital lesions, infection and trauma. As a imaging method, radiography, computed tomography, Magnetic resonance imaging, myelography and discography combined with or without ccmputed tomography are currently used. In this review, I like to describe about principles, advantages, and limitations of the imaging methods as well as finding of the common spinal disorders briefly.

REFERENCES

1). Andre M, Resnick D. Computed tomography. Resnick D, editor. Diagnosis of bone and joint disorders. 3rd eds.Philadelphia: Saunders;1995. p. 118–169.
2). Aprill C, Bogduk N. High intensity zone: a diagnostic sign of painful lumbar disc on MRI. Br J Radiol. 65:361–369. 1992.
3). Boden SD, Davis DO, Dina TS, Patronas NJ, Wiesel SW. Abnormal magnetic-resonane scans of the lumbar spine in asymptomatic subjects. J Bone Joint Surg. 72-A:403–408. 1990.
4). Carrera GF, Haughton VM, Syvertsen A, et al. Computed tomography of lumbar facet joints. Radiology. 134:145–148. 1981.
5). Collis JS Jr, Gardner WS. Lumbar discography, an analysis of 1000 cases. J of Neurosurgery. 19:452. 1962.
6). Fardon D, Pinkerton S, Bladerston R, Garfin S, Nasca R, Salib R. Terms used for diagnosis by English speaking spine surgeons. Spine. 18:274–277. 1993.
crossref
7). Grogan JP, Hemminghytt S, Williams AL, et al. Spondylolysis studied with computed tomography. Radiology. 145:737–742. 1982.
crossref
8). Haughton V. Imaging techniques in intraspinal diseases. Resnick D, editor. Diagnosis of bone and joint disorders.3rd eds. Philadelphia: Saunders;p. 237–276. 1995.
9). Hoeftle MG, Modic MT, Ross JS, et al. Lumbar spine: postoperative MR imaging with Gd-DTPA. Radiology. 167:817–824. 1988.
crossref
10). Kim NH, Kim HK, Suh JS. A computed tomographic analysis of changes in the spinal canal after lumbar interbody fusion. Clin Orthop. 286:180–191. 1993.
11). Masaryk TJ, Ross JS, Modic MT, Boumphrey F, Bohlman H, Wilber G. High-resolution MR imaging of sequestered lumbar intervertebral disks. AJNR. 9:351–358. 1988.
crossref
12). Modic MT, Pavlicek W. Weinstein MA, et al. Magnetic resonance imaging of intervertebral disc disease. Radiology. 152:103–111. 1984.
13). Modic MT, Steinberg PM, Ross JS, Masaryk TJ, Carter JR. Degenerative disk disease: assessment of changes in vertebral bone marrow with MR imaging. Radiology. 166:193–199. 1988.
14). Mikhawl MA, Ciric IS, Tarkington JA, et al. Neurologic evaluation of lateral recess syndrome. Radiology. 140:97–107. 1981.
15). Ricci C, Cova M, Kang YS, et al. Normal age-related patterns of cellular and fatty bone marrow distribution in the axial skeleton: MR imaging study. Radiology. 177:83–88. 1990.
crossref
16). Richardson ML, Genant HK, Helms CA, et al. Magnetic resonance imaging of the musculoskeletal system. Orthop Clin North Am. 16:569–587. 1985.
crossref
17). Ross JS, Masaryk TJ, Schrader M, Gentili A, Bohlman H, Modic MT. MR imaging of the postoperative lumbar spine: assessment with gadopentetate dimeglumine. AJNR. 11:771–776. 1990.
crossref
18). Sartoris DJ, Resnick D. Plain film radiography: sour-ses of diagnostic errors. Resnick D, editor. Diagnosis of bone and joint disorders. 3rd eds.Philadelphia: Saunders;1990. 5:p. 3–4.
19). Schiebler ML, Camerino VJ, Fallon MD, Zlatkin MB, Grenier N, Kressel HY. In Vivo and ex Vivo Magnetic Resonance imaging evaluation of early disc degeneration with histopathologic correlation. Spine. 16:635–640. 1991.
crossref
20). Teplick JG, Haskin ME. Computed tomography of the postoperative lumbar spine. AJR. 141:865–884. 1983.
21). Volinn E. The epidemiology of low back pain in the rest of the world. Spine. 22:1747–1754. 1997.
crossref
22). Yu S. Haughton VM, Ho PSP, Sether LA, Wagner M. HOKC. Progressive and regressive changes in the nucleus pulposus. Part II. The adult. Radiology. 169:93–97. 1988.
crossref
23). Yu S, Haughton VM, Sether LA, et al. criteria for classi -fying normal and degenerative lumbar intervertebral disks. Radiology. 170:523–526. 1989.
24). Yu S, Haughton VM, Sether LA, Wagner M. Annulus fibrosus in bulging intervertebral discs. Radiology. 169:761–763. 1988.
TOOLS
Similar articles