Document Detail

New possibilities of radiologic diagnostic methods for diseases of the spinal column using spinal computer tomography
MedLine Citation:
PMID:  6467817     Owner:  NLM     Status:  MEDLINE    
During the last there years (from May 1981 to March 1984) we performed 1368 CT examinations of the spine, 447 of the cervical, 264 of the thoracic and 657 of the lumbar vertebral column. 30% of the CT examination of the lumbar spine revealed a prolapse of an intervertebral disk. In 38% of the cases involving the thoracic spine metastases were seen. We diagnosed fractures in 10% of the cervical spine and 11% of the thoracic spine examinations. Posttraumatic or postoperative intravertebral haemorrhage was hardly ever diagnosed in our patients (1.9% of the cases). Spinal trauma: The anterior-posterior and lateral plain films continue to be the mainstay of radiographic screening in spinal injury. Nevertheless, the degree of injury is underestimated in a significant number of patients with spinal trauma if conventional radiography is the only diagnostic approach. For further clarification CT proved to be the fastest and best method to recognise the causes and extent of compression of the vertebral canal. CT has attained a high degree of accuracy in the diagnosis of prolapse of intervertebral disks, replacing myelography if the findings are unequivocally established. CT should also be preferred to myelography in suspected recurrent prolapse. Localisation, shape and density are criteria for differentiating between scarification and prolapse via CT. The results show that CT has opened up new possibilities in the diagnosis of spinal diseases and has resulted in a reorientation of the diagnostic approach.
G Fenzl; M Rath; H Steinhoff; K A Matzen
Publication Detail:
Type:  English Abstract; Journal Article    
Journal Detail:
Title:  Digitale Bilddiagnostik     Volume:  4     ISSN:  0724-7591     ISO Abbreviation:  Digitale Bilddiagn     Publication Date:  1984 Jun 
Date Detail:
Created Date:  1984-10-01     Completed Date:  1984-10-01     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8405849     Medline TA:  Digitale Bilddiagn     Country:  GERMANY, WEST    
Other Details:
Languages:  ger     Pagination:  79-85     Citation Subset:  IM    
Vernacular Title:
Neuorientierung des radiologisch-diagnostischen Vorgehens bei Erkrankungen im Bereich der Wirbelsäule durch die spinale Computertomographie.
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MeSH Terms
Intervertebral Disk Displacement / radiography
Spinal Diseases / radiography*
Spinal Injuries / radiography
Spinal Neoplasms / radiography
Tomography, X-Ray Computed*

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