Document Detail


Dynamic computed tomography myelography for the investigation of cervical degenerative disease.
MedLine Citation:
PMID:  16636515     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Dynamic computed tomography (CT) myelography was conducted in 15 patients with cervical degenerative disease to assess the lesions responsible for their symptoms. CT myelography was performed using a multi-detector row helical CT system in dynamic positions (flexion or extension or both) in addition to the neutral position. Fine sagittal reconstructed images could be obtained in addition to axial images. This method provided static information including cervical vertebral body deformities, and good contrast images of the spinal cord, nerve roots, and cerebrospinal fluid space. In addition, laterality of the offending lesion and changes exaggerated by cervical motion were clearly shown in both axial and sagittal images. Ten of 15 patients demonstrated dynamic changes including dynamic canal stenosis or spinal cord impingement. The operative strategies were changed based on dynamic CT myelography findings in three of the 15 patients. Dynamic CT myelography can provide the axial and sagittal images required for flexion-extension studies, and in combination with conventional imaging modalities, provides valuable information for determining treatment strategies and objectives.
Authors:
Tomosato Yamazaki; Kensuke Suzuki; Kiyoyuki Yanaka; Akira Matsumura
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Neurologia medico-chirurgica     Volume:  46     ISSN:  0470-8105     ISO Abbreviation:  Neurol. Med. Chir. (Tokyo)     Publication Date:  2006 Apr 
Date Detail:
Created Date:  2006-04-25     Completed Date:  2006-08-02     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0400775     Medline TA:  Neurol Med Chir (Tokyo)     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  210-5; discussion 215-6     Citation Subset:  IM    
Affiliation:
Department of Neurosurgery, Kensei General Hospital, Ibaraki, and Department of Neurosurgery, University of Tsukuba, Japan. tysato@crocus.ocn.ne.jp
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Cervical Vertebrae / radiography*,  surgery
Female
Follow-Up Studies
Humans
Image Processing, Computer-Assisted*
Intervertebral Disk Displacement / radiography,  surgery
Laminectomy
Male
Middle Aged
Myelography*
Neurologic Examination
Spinal Cord Compression / radiography,  surgery
Spinal Fusion
Spinal Osteophytosis / radiography*,  surgery
Spinal Stenosis / radiography,  surgery
Tomography, Spiral Computed*

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


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