Medical Imaging Department, Rennes University Hospital, 16, boulevard de Bulgarie, 35056 Rennes, France.
Rheumatology Department, Rennes University Hospital, 16, boulevard de Bulgarie, 35056 Rennes, France.
Diagn Interv Imaging. 2015 Mar;96(3):239-49. doi: 10.1016/j.diii.2014.02.019. Epub 2014 Mar 24.
Low back pain is a common symptom that can lead to disability and major socio-professional repercussions. Despite advances in imaging, the etiology of the pain often remains unknown. Morphological changes related to normal ageing of the disc appear on MR imaging without any symptoms. The potential impact of changes seen on imaging, especially MRI, also warrants discussion. The purpose of this work is to review the state-of-the-art of this subject, underlining relevant key features for routine radiological practice. We will first discuss anterior and posterior segments of the spine with a focus on anatomical, physiopathological and semiological findings. Secondly we will discuss the diagnostic value of each sign.
下背痛是一种常见的症状,可能导致残疾和重大的社会职业影响。尽管影像学有了进步,但疼痛的病因往往仍不清楚。与椎间盘正常老化有关的形态学变化在磁共振成像上出现,但没有任何症状。影像学(特别是 MRI)上所见变化的潜在影响也值得讨论。本工作的目的是回顾这一主题的最新进展,强调常规放射学实践的相关关键特征。我们将首先讨论脊柱的前、后段,重点是解剖学、病理生理学和症状学发现。其次,我们将讨论每个征象的诊断价值。