Montoya-Bordón J, Elvira-Ruiz P, Carriazo-Jiménez B, Robles-Blanco C, Pereiro-Montbrun F, Rodríguez-Fernández C
Servicio de Radiología, Hospital Universitario Fundación Jiménez Díaz, Madrid, Spain.
Servicio de Radiología, Hospital Universitario Fundación Jiménez Díaz, Madrid, Spain.
Rev Esp Cir Ortop Traumatol. 2023 Nov-Dec;67(6):S511-S522. doi: 10.1016/j.recot.2023.08.006. Epub 2023 Aug 3.
The spine is the third most frequent location for metastatic disease, after the lung and liver. On the other hand, the most frequent bone tumours are metastases and the spine is the main location. A review of the different imaging techniques available, both radiological and nuclear medicine, and the morphological appearance of spinal metastases in each of them is performed. Magnetic resonance imaging is the best imaging modality for detection of spinal metastases. It is important to make the differential diagnosis between vertebral fracture of osteoporotic and pathological cause. Spinal cord compression is a serious complication of metastatic disease and its assessment by imaging through objective scales is decisive for estimating spinal stability and therefore establishing treatment. Lastly, percutaneous intervention techniques are briefly discussed.
脊柱是继肺和肝之后转移性疾病的第三大常见部位。另一方面，最常见的骨肿瘤是转移瘤，而脊柱是主要发病部位。本文对现有的不同影像学技术（包括放射学和核医学技术）以及每种技术中脊柱转移瘤的形态学表现进行了综述。磁共振成像（MRI）是检测脊柱转移瘤的最佳影像学方法。鉴别骨质疏松性椎体骨折和病理性骨折至关重要。脊髓压迫是转移性疾病的一种严重并发症，通过客观量表进行影像学评估对于判断脊柱稳定性进而确定治疗方案具有决定性意义。最后，简要讨论了经皮介入技术。
