Nudelman Brandon, Mittal Ashish, Rosinski Alexander, Zaborovskii Nikita, Wu Samuel, Kondrashov Dimitriy
San Francisco Orthopaedic Residency Program, San Francisco, California.
Spine Surgery and Oncology, R.R. Vreden Russian Research Institute of Traumatology and Orthopedics, Saint Petersburg, Russia.
JBJS Rev. 2021 Jul 14;9(7):01874474-202107000-00004. doi: e20.00267.
»: The spinal column has a propensity for lesions to manifest in a multifocal manner, and identification of the lesions can be difficult.
»: When used to image the spine, magnetic resonance imaging (MRI) most accurately identifies the presence and location of lesions, guiding the treatment plan and preventing potentially devastating complications that are known to be associated with unidentified lesions.
»: Certain conditions clearly warrant evaluation with whole-spine MRI, whereas the use of whole-spine MRI with other conditions is more controversial.
»: We suggest whole-spine MRI when evaluating and treating any spinal infection, lumbar stenosis with upper motor neuron signs, ankylosing disorders of the spine with concern for fracture, congenital scoliosis undergoing surgical correction, and metastatic spinal tumors.
»: Use of whole-spine MRI in patients with idiopathic scoliosis and acute spinal trauma remains controversial.
脊柱病变倾向于以多灶性方式表现，病变的识别可能具有挑战性。
当用于脊柱成像时，磁共振成像（MRI）能最准确地识别病变的存在和位置，指导治疗方案并预防已知与未识别病变相关的潜在毁灭性并发症。
某些情况显然需要进行全脊柱MRI评估，而在其他情况下使用全脊柱MRI则更具争议性。
我们建议在评估和治疗任何脊柱感染、伴有上运动神经元体征的腰椎管狭窄、担心骨折的脊柱强直性疾病、接受手术矫正的先天性脊柱侧凸以及转移性脊柱肿瘤时进行全脊柱MRI检查。
在特发性脊柱侧凸和急性脊柱创伤患者中使用全脊柱MRI仍存在争议。
