Dutton J A, Hughes S P, Peters A M
Department of Imaging, Hammersmith Hospital, London, United Kingdom.
Clin Nucl Med. 2000 Feb;25(2):93-6. doi: 10.1097/00003072-200002000-00001.
Single photon emission computed tomography (SPECT) bone scans of the lumbar spine were evaluated in the management of patients with low back pain and suspected spondylolysis.
Thirty-three patients (mean age, 30 years) with high clinical suspicion of pars interarticularis defects were included in the study. The results of lumbar radiographs and SPECT bone scintigraphy were compared and the influence of these results on patient management was evaluated.
Twenty-six of the 33 patients had abnormal results of lumbar radiographs. Of the 21 patients with radiographs indicating spondylolysis, six had abnormal uptake in the pars regions on bone scintigraphy. One patient with normal results of lumbar radiographs had a SPECT bone scan showing uptake in the region of the pars interarticularis.
SPECT bone scanning of the lumbar spine has a role in the treatment of patients with symptomatic spondylolysis.
评估腰椎单光子发射计算机断层扫描（SPECT）骨扫描在腰痛和疑似椎弓根峡部裂患者管理中的作用。
本研究纳入了33例临床高度怀疑关节突间部缺损的患者（平均年龄30岁）。比较腰椎X线片和SPECT骨闪烁显像的结果，并评估这些结果对患者管理的影响。
33例患者中有26例腰椎X线片结果异常。在21例X线片显示椎弓根峡部裂的患者中，6例骨闪烁显像显示关节突部摄取异常。1例腰椎X线片结果正常的患者SPECT骨扫描显示关节突间部区域有摄取。
腰椎SPECT骨扫描在有症状的椎弓根峡部裂患者的治疗中具有一定作用。
