Kotwica Z, Kasprzak P, Chmielowski M
Katedry i Kliniki Neurochirurgii AM, Lodzi.
Neurol Neurochir Pol. 1992;Suppl 1:166-9.
The authors compared the results of preoperative computer-assisted myelography (CAM) with surgical findings in 45 patients with suspected cervical disc disease. In 98% CAM gave full and proper diagnosis confirmed by surgery. Only in one patient, the preoperative diagnosis was extraspinal tumour, and surgery revealed prolapsed nucleus pulposus lying freely on the anterior wall of the dural sac. In authors's opinion, CAM is sufficient for planning of surgical treatment in cervical disc disease, and other radiological studies, myelography or nuclear magnetic resonance tomography are usually not necessary.
作者比较了45例疑似颈椎间盘疾病患者术前计算机辅助脊髓造影(CAM)的结果与手术发现。在98%的病例中,CAM做出了经手术证实的完整且正确的诊断。仅1例患者术前诊断为椎管外肿瘤,而手术发现游离的髓核脱垂至硬脊膜囊前壁。作者认为,CAM足以用于颈椎间盘疾病手术治疗的规划,通常无需进行其他放射学检查,如脊髓造影或核磁共振断层扫描。