Dullerud R
Radiologisk avdeling, Aker sykehus, Oslo.
Tidsskr Nor Laegeforen. 1999 May 10;119(12):1778-81.
Low back pain and sciatica are among the most common medical problems in Western countries, affecting up to 80% of the population at some time during their lives. Plain radiography is still a sensitive method in degenerative spinal disease and for the identification of spondylolysis and destructions as well as transitional vertebra and other anomalies in the lumbosacral region. In lumbar disk herniation, CT and MR have higher sensitivity than lumbar myelography, and should be used as the primary imaging methods. Myelography is still the method of choice in lumbar spinal stenosis. Myelography should also be considered in patients with poor consistency between CT or MR findings and the clinical presentation. Postoperatively, MR is superior to CT and myelography for distinguishing between scar tissue and recurrent disk herniation.
腰痛和坐骨神经痛是西方国家最常见的医学问题之一，在人们一生中的某些时候，高达80%的人口会受到影响。普通X线摄影在退行性脊柱疾病以及识别腰椎峡部裂、骨质破坏、移行椎和腰骶部其他异常方面仍然是一种敏感的方法。在腰椎间盘突出症中，CT和MR比腰椎脊髓造影具有更高的敏感性，应作为主要的成像方法。脊髓造影仍然是腰椎管狭窄症的首选方法。对于CT或MR检查结果与临床表现不一致的患者，也应考虑进行脊髓造影。术后，在区分瘢痕组织和复发性椎间盘突出方面，MR优于CT和脊髓造影。
