Document Detail

Diagnosis of diseases of the lumbar spine: correlation of computerized tomography with myelography and clinical findings.
MedLine Citation:
PMID:  3603106     Owner:  NLM     Status:  MEDLINE    
Data from 339 patients referred for evaluation of suspected lumbar disease were studied retrospectively to correlate findings in the routine clinical evaluation with results of computed tomography and myelography. Clinical features from the patients' history that correlated with an abnormal CT and myelogram included age greater than or equal to 40, a history of previous surgery, and absence of a history of injury. Signs from the physical examination that correlated included reduced lumbar motion, a motor or sensory deficit, abnormal reflexes, and reduced capacity for straight leg-raising or walking. Using a clinical score incorporating these variables, we suggest a diagnostic strategy to promote more efficient and selective use of CT scans and myelograms. We project that the use of this diagnostic approach can reduce the number of myelograms ordered in a similar population by more than 50%.
R E Goodman; R Vander Zwaag; G M Kaiser; J D Acker; R S Pinals
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Southern medical journal     Volume:  80     ISSN:  0038-4348     ISO Abbreviation:  South. Med. J.     Publication Date:  1987 Jul 
Date Detail:
Created Date:  1987-08-13     Completed Date:  1987-08-13     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0404522     Medline TA:  South Med J     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  855-60     Citation Subset:  AIM; IM    
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MeSH Terms
Age Factors
Evaluation Studies as Topic
Intervertebral Disk Displacement / diagnosis
Lumbar Vertebrae / radiography
Middle Aged
Retrospective Studies
Spinal Cord Diseases / etiology
Spinal Diseases / radiography*,  surgery
Spinal Stenosis / diagnosis
Tomography, X-Ray Computed*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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