Heuck Andreas, Glaser Christian
Radiologisches Zentrum München (RZM), Munich Germany.
Semin Musculoskelet Radiol. 2014 Jul;18(3):228-39. doi: 10.1055/s-0034-1375566. Epub 2014 Jun 4.
Degenerative disease may lead to spinal canal stenosis and long-lasting pain. It is among the leading cause of disability that may affect the ability to work. It has become more common in an increasingly aging population. MRI is the most comprehensive imaging modality and provides detailed morphologic information. A standardized terminology facilitates communication with referring physicians. Yet imaging findings need careful interpretation in conjunction with the results of clinical tests and symptoms to truly help guide therapeutic decision making. This review summarizes aspects of normal anatomy of the intervertebral disk, pathologic mechanisms, terminology, and examples of the imaging spectrum of disk degeneration and herniation.
退行性疾病可能导致椎管狭窄和长期疼痛。它是导致残疾的主要原因之一，可能影响工作能力。在人口老龄化日益加剧的情况下，这种疾病变得越来越普遍。磁共振成像（MRI）是最全面的成像方式，可提供详细的形态学信息。标准化术语有助于与转诊医生进行沟通。然而，成像结果需要结合临床检查结果和症状进行仔细解读，才能真正有助于指导治疗决策。本综述总结了椎间盘正常解剖结构、病理机制、术语以及椎间盘退变和突出的成像谱示例等方面。
