Department of Neurosurgery, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts 02114, USA.
Neurosurg Focus. 2011 Dec;31(6):E17. doi: 10.3171/2011.9.FOCUS11207.
Incidental vertebral lesions on imaging of the spine are commonly encountered in clinical practice. Contributing factors include the aging population, the increasing prevalence of back pain, and increased usage of MR imaging. Additionally, refinements in CT and MR imaging have increased the number of demonstrable lesions. The management of incidental findings varies among practitioners and commonly depends more on practice style than on data or guidelines. In this article we review incidental findings within the vertebral column and review management of these lesions, based on available Class III data.
在脊柱影像学检查中，偶然发现的脊柱病变较为常见。导致这种情况的因素包括人口老龄化、背痛发病率的增加、磁共振成像（MR 成像）的广泛应用。此外，CT 和 MR 成像技术的进步也增加了可显示病变的数量。偶然发现的病变的处理方式因医生而异，而且通常更多地取决于医生的个人习惯，而非数据或指南。本文回顾了脊柱偶然发现的病变，并基于现有 III 级证据，对这些病变的处理方法进行了综述。
