Santori F S, Manili M, Gallucci M
Istituto di Clinica Ortopedica dell'Università La Sapienza, Roma.
Ital J Orthop Traumatol. 1988 Jun;14(2):243-55.
The morphological study of lumbar herniated discs, aimed at ascertaining the appropriate type of surgical treatment to be used, is commonly based on the results of CT scan and/or radiculography, which are not without risks and disadvantages. An investigation of the pathological pictures of lumbar disc hernia obtained by N.M.R. and their comparison with those obtained by other methods shows that nuclear magnetic resonance is currently able to provide all the required information. In most patients, and especially young ones, it is possible to directly diagnose disc hernia with N.M.R. Radiculography is a more suitable method only in a small number of cases, namely, elderly patients with multiple discopathies which have been radiographically ascertained, and with atypical symptomatology.
腰椎间盘突出症的形态学研究旨在确定合适的手术治疗方式，通常基于CT扫描和/或神经根造影的结果，但这些方法并非没有风险和缺点。对通过核磁共振成像（N.M.R.）获得的腰椎间盘突出症病理图像进行研究，并将其与通过其他方法获得的图像进行比较，结果表明，核磁共振目前能够提供所有所需信息。在大多数患者中，尤其是年轻患者，可以通过核磁共振直接诊断椎间盘突出症。神经根造影仅在少数情况下是更合适的方法，即已通过影像学确定患有多种椎间盘病变且症状不典型的老年患者。
