Scotti G, Scialfa G, Pieralli S, Boccardi E, Valsecchi F, Tonon C
AJNR Am J Neuroradiol. 1983 May-Jun;4(3):601-3.
Forty patients with symptoms and signs of radicular disease or spinal cord involvement secondary to cervical spondylosis were studied with myelography (using nonionic water-soluble contrast medium) followed by computed tomographic (CT) myelography. In 17 patients CT was also performed before myelography. CT myelography adds useful information to the myelographic findings. Cord compression is better evaluated and osteophytes can be differentiated from disk herniation. Plain CT can demonstrate a herniated disk but with less accuracy than CT myelography. Cord and root compression are not seen directly on plain CT; for this reason myelography should be the first procedure in patients with myelopathy or myeloradiculopathy, which may be followed by CT myelography.
对40例有神经根病症状体征或继发于颈椎病的脊髓受累症状体征的患者进行了脊髓造影（使用非离子水溶性造影剂），随后进行计算机断层脊髓造影（CT脊髓造影）。17例患者在脊髓造影前也进行了CT检查。CT脊髓造影为脊髓造影结果增添了有用信息。能更好地评估脊髓受压情况，并且可以将骨赘与椎间盘突出区分开来。普通CT可以显示椎间盘突出，但准确性不如CT脊髓造影。在普通CT上不能直接看到脊髓和神经根受压情况；因此，脊髓造影应作为脊髓病或脊髓神经根病患者的首选检查方法，之后可进行CT脊髓造影。
