Cowley Peter
National Hospital for Neurology and Neurosurgery, Neuroimaging Analysis Centre, UCLH, 3rd Floor, 8-11 Queen Square, London WC1N 3AR, UK.
Magn Reson Imaging Clin N Am. 2016 Aug;24(3):523-39. doi: 10.1016/j.mric.2016.04.009.
Spinal stenosis is common and presents in a variety of forms. Symptomatic lumbar stenosis occurs in approximately 10% of the population and cervical stenosis in 9% over age 70. Imaging is central to the management decision process and first-choice MR imaging may be substituted with CT and CT myelography. A review of the literature is presented with particular emphasis on the clinical-radiologic correlation in both neurogenic intermittent claudication and cervical spondylotic myelopathy. Advanced techniques promise improvements, particularly with radicular compressive lesions, but remain underutilized in routine clinical practice.
椎管狭窄很常见,且有多种表现形式。有症状的腰椎管狭窄在大约10%的人群中出现,而颈椎管狭窄在70岁以上人群中的发生率为9%。影像学检查是管理决策过程的核心,首选的磁共振成像(MR成像)可被计算机断层扫描(CT)和CT脊髓造影替代。本文对文献进行了综述,特别强调了神经源性间歇性跛行和脊髓型颈椎病的临床与放射学相关性。先进技术有望带来改善,尤其是对于神经根受压性病变,但在常规临床实践中仍未得到充分利用。