Ruiz Santiago F, Guzmán Alvarez L, Tello Moreno M, Navarrete González P J
Departamento de Radiología, Hospital de Traumatología, Ciudad Sanitaria Virgen de las Nieves, Granada, España.
Radiologia. 2010 Mar-Apr;52(2):126-37. doi: 10.1016/j.rx.2009.12.010. Epub 2010 Mar 15.
The introduction of tomographic imaging techniques, fundamentally computed tomography and magnetic resonance imaging, has led to a gradual decrease in the indications for plain-film radiography, resulting in fewer patients studied and fewer projections for each patient. Consequently, plain-film studies of the spine have received less attention and radiologists are less familiar with the typical findings in normal and pathologic conditions of the spine. Nevertheless, plain-film radiography continues to be widely used in both primary and specialized care. Thus, radiologists still need to be aware of the normal radiologic anatomy of the spine and of the radiologic manifestations of the diverse pathological processes that can affect the spinal column and that can cause pain. The aim of this article is to review the manifestations on plain-film radiography of a wide variety of diseases that can cause back pain, including congenital, traumatic, degenerative, tumor-related, inflammatory, and infectious diseases and processes.
断层成像技术的引入，主要是计算机断层扫描和磁共振成像，已导致平片放射摄影的适应症逐渐减少，使得接受检查的患者数量减少，且每位患者的投照次数也减少。因此，脊柱平片研究受到的关注较少，放射科医生对脊柱正常和病理状况下的典型表现也不太熟悉。尽管如此，平片放射摄影在初级保健和专科护理中仍被广泛使用。因此，放射科医生仍需了解脊柱的正常放射解剖结构以及可影响脊柱并导致疼痛的各种病理过程的放射学表现。本文的目的是回顾多种可引起背痛的疾病在平片放射摄影上的表现，包括先天性、创伤性、退行性、肿瘤相关、炎症性和感染性疾病及病变。
