[Spinal stenosis].

Ceskoslovenska radiologie Pub Date : 1989-01-01
J Kolín
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Abstract

Space conditions in the spine canal play the decisive role in the origin of neurological difficulties connected with pressure on the spinal cord and its radices. For the diagnosis of spinal stenosis the dimensions of the spine canal are of importance: sagital, interpedicular, interarticular and the width of lateral recessus of the spine canal. The diagnostics of spinal stenosis is based on the anterior-posterior and lateral picture of the spine, CT examination and contrast examination of the spine canal--myeloradiculography. CT is included in the diagnostic algorhythm on the 2nd place after picture of the spine in classical projections. The anvantage of CT in its non-invasiveness, illustration without projection distortion and high sensitivity and specificity of the examination. Myeloradiculography is indicated for cases of uncertain findings with CT or discrepancy of the CT picture and clinical condition. It may be presumed that in the near future the CT examination will be required in the diagnosis of spine stenosis more frequently by the physicians.

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(脊髓狭窄)。
脊柱管的空间条件在脊髓及其根受压的神经系统困难的起源中起决定性作用。对于椎管狭窄的诊断,椎管的尺寸是重要的:矢状、椎弓根间、关节间和椎管外侧凹的宽度。椎管狭窄的诊断是基于脊柱的前后位和侧位图像,CT检查和椎管对比检查-脊髓根造影。CT被纳入诊断算法,在经典投影中排在脊柱图像之后的第二位。CT的优势在于其无创性、无投影畸变、检查灵敏度和特异性高。对于CT表现不明确或CT图像与临床情况不一致的病例,应进行髓动脉造影检查。可以推测,在不久的将来,医生在诊断脊柱狭窄时将更多地需要CT检查。
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