Milette P C, Melançon D, Dupuis P R, Vadeboncoeur R, Bertrand G, Pelletier J P, Raynauld J P
Department of Radiology, Hôpital Saint-Luc, Montreal, Quebec.
J Radiol. 1992 Dec;73(12):645-51.
The terminology for abnormalities of the lumbar disk has always been a source of confusion. Recent advances in pathological studies have inspired the authors to propose a simple classification of common disk anomalies suitable not only for diagnostic radiologists but also for referring clinicians. Although the diagnosis of a few pathological entities will only be possible with specific imaging techniques, the proposed classification is appropriate for reporting observations from plain films, conventional tomograms, myelograms, discograms, computed tomography scans and magnetic resonance images. All lumbar disks can thus be classified into one or more of the following categories: normal, aging, scarred, ruptured and herniated. A disk herniation is defined as a localized exit of disk material beyond the limits of the original intervertebral space.
腰椎间盘异常的术语一直是一个令人困惑的源头。病理学研究的最新进展促使作者提出一种常见椎间盘异常的简单分类方法,该方法不仅适用于诊断放射科医生,也适用于转诊的临床医生。尽管只有通过特定的成像技术才能诊断少数病理实体,但所提出的分类方法适用于报告平片、传统体层摄影、脊髓造影、椎间盘造影、计算机断层扫描和磁共振成像的观察结果。所有腰椎间盘因此可分为以下一个或多个类别:正常、老化、瘢痕化、破裂和突出。椎间盘突出被定义为椎间盘物质超出原始椎间隙范围的局限性突出。