Loading [MathJax]/jax/output/HTML-CSS/fonts/TeX/fontdata.js

Journal List > J Korean Radiol Soc > v.20(1) > 1135514

Yang, Im, Sohn, Lim, Kim, Choi, and Bae: Diagnostic value of high resolutional computed tomography of spine

Abstract

No-0enhanced high resolution CT provide clear visualization of soft tissue in the canal and bony details ofspine, particularly of the lumbar spine. We observed 70 cases of spine CT using GE CT/T 8800 scanner during theperiod from Dec. 1982 to Sep. 1983 at Jeonbug National University Hospital. The results wee as follows: 1. The sexdistribution of cases were 55 males and 15 females: age was from 17 years to 67 years; sites were 11 cervicalspine, 5 thoracic spine and 54 lumbosacral spine. 2. CT diagnosis showed 44 cases of lumbar disc herniation, 7cases of degenerative disease, 3 cases of spine fracture and each 1 cases of cord tumor, metastatic tumor,spontaneous epidural hemorrhage, epidural abscess, spine, tbc., meningocele with diastematomyelia. 3. Sites ofherniated nucleus pulposus were 34 cases(59.6%) between L4-5 interspace and 20 cases (35.1%) between L5-S1interspace. 13 cases (29.5%) of lumbar disc herniation disclosed multiple lesions. Location of herniation werecentral type in 28 cases (49.1%), right-central type in 12 cases (21.2%), left-central type in 11 cases (19.2%) &far lateral type in 6 cases (10.5%). 4. CT findings of herniated nucleus pulposus were as follows: focalprotrusion of posterior disc margin and obliteration of anterior epidural fat in all cases, dural sac indentationin 26 cases (45.6%), soft tissue mass in epidural fat in 21 cases (36.8%), displacement or compression of nerveroot sheath in 12 cases(36.8%), displacement or compression of nerve root sheath in 12 cases (21%). 5. Multiplanarreformatted images and Blink mode provide more effective evaluation about definite level and longitudinaldimension of lesion, such as obscure disc herniation, spine fracture, cord tumor and epidural abscess. 6.Non-enhanced and enhanced high resolutional computed tomography were effectively useful in demonstratingcompression or displacement of spinal cord and nerve root, examing congenital anomaly such as meningocele andprimary or metastatic spinal lesions.

TOOLS
Similar articles