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[上腰椎间盘移位诊断的新进展,特别涉及磁共振断层扫描]

[New aspects in the diagnosis of intervertebral disk displacement of the upper lumbar spine with special reference to magnetic resonance tomography].

作者信息

Gruss P, Tannenbaum H, Obletter N, Breit A, Lindner R

机构信息

Neurochir. Abt. am KH der Barmherzigen Brüder, Regensburg.

出版信息

Z Orthop Ihre Grenzgeb. 1990 Mar-Apr;128(2):191-4. doi: 10.1055/s-2008-1039498.

Abstract

A report is presented on two patients who received surgery on a disc prolapse between the lumbar vertebrae 4 and 5 as treatment for compression of the fifth lumbar root, but in whom the clinically relevant disc prolapse was located higher (lumbar vertebrae 1/2 or thoracic vertebra 12/lumbar vertebra 1). Magnetic resonance tomography made a major contribution to the later diagnosis of the high disc prolapses. Besides precise localization of the lesion, MRT made it easier to understand why such a high disc prolapse can cause a compression syndrome of the fifth lumbar root.

摘要

本文报告了两名患者,他们因第五腰神经根受压接受了腰4和腰5椎间盘突出症手术,但临床上相关的椎间盘突出位置更高(腰1/2或胸12/腰1)。磁共振断层扫描对高位椎间盘突出的后期诊断有重要贡献。除了精确确定病变位置外,磁共振成像还使人们更容易理解为什么如此高位的椎间盘突出会导致第五腰神经根受压综合征。

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