Dijkstra P F, Vleeming A, Stoeckart R
Jan van Breemen Instituut, Amsterdam.
Rofo. 1989 Jun;150(6):635-42. doi: 10.1055/s-2008-1047093.
To find a better method for diagnosing sacroiliac (SI) joint disease, an anatomical approach was combined with conventional roentgenology, complex motion tomography and computed tomography. Complex motion tomography is suggested as the method of choice in the investigation of the SI-joint. Because of its complex (sinusoidal) form, the dorsal portion of the joint has to be tomographed in frontal projection and the middle and ventral portions in oblique projection. In 56 patients, referred for probable ankylosing spondylitis, 72 SI joints were investigated. Based on plain radiography six and on frontal tomography five SI joints were diagnosed as normal. However, based on oblique tomography 31 joints were diagnosed as normal.
为了找到一种更好的诊断骶髂关节疾病的方法，将解剖学方法与传统放射学、复杂动态体层摄影术和计算机断层扫描相结合。建议将复杂动态体层摄影术作为骶髂关节检查的首选方法。由于关节背侧呈复杂的（正弦）形态，必须在正位投照下对其进行体层摄影，而中间和腹侧部分则需在斜位投照下进行体层摄影。对56例疑似强直性脊柱炎患者的72个骶髂关节进行了检查。根据普通X线摄影，6个骶髂关节被诊断为正常，根据正位体层摄影，5个骶髂关节被诊断为正常。然而，根据斜位体层摄影，31个关节被诊断为正常。
