Larsson E M, Holtås S, Cronqvist S, Brandt L
Department of Diagnostic Radiology, University Hospital, Lund, Sweden.
Acta Radiol. 1989 May-Jun;30(3):233-9.
Twenty-six patients with cervical radiculopathy and/or myelopathy caused by spondylosis or disk herniation were examined with myelography, CT myelography and MR. Fourteen of the patients were operated upon and 11 of them underwent postoperative MR and CT. The three radiologic methods provided comparable information about narrowing of the subarachnoid space and compression of the spinal cord. It was more difficult to distinguish bone from soft tissue with MR only, but the combination of MR and conventional radiography gave sufficient information for this differentiation. When radiologic nerve root sheath deformity was compared with clinical radiculopathy, myelography, CT myelography and MR had similar sensitivity and accuracy. Postoperative MR could reveal remaining indentation on the thecal sac and the cord but CT without contrast medium was useful as a complement to determine the aetiology of the indentation. Because MR has several practical advantages, it is well suited as the primary imaging modality, together with conventional radiography, for the preoperative radiologic evaluation of patients with cervical radiculopathy and/or myelopathy. Postoperative MR is useful in patients with persistent or new symptoms.
对26例因颈椎病或椎间盘突出导致神经根型颈椎病和/或脊髓病的患者进行了脊髓造影、CT脊髓造影和磁共振成像(MR)检查。其中14例患者接受了手术,11例术后接受了MR和CT检查。这三种影像学方法提供了关于蛛网膜下腔狭窄和脊髓受压的类似信息。仅通过MR区分骨骼和软组织更困难,但MR与传统放射学检查相结合可提供足够的信息进行这种区分。当将影像学神经根鞘畸形与临床神经根病进行比较时,脊髓造影、CT脊髓造影和MR具有相似的敏感性和准确性。术后MR可显示硬脊膜囊和脊髓上的残留压迹,但无造影剂的CT有助于补充确定压迹的病因。由于MR有几个实际优势,它非常适合作为主要的成像方式,与传统放射学检查一起,用于对神经根型颈椎病和/或脊髓病患者进行术前影像学评估。术后MR对有持续或新症状的患者有用。