Saternus K S, Bornscheuer H H
Rofo. 1983 Dec;139(6):651-7. doi: 10.1055/s-2008-1055968.
In order to prove the diagnostic value of cervical discography, a postmortem investigation was carried out on 70 trauma fatalities and 30 atraumatic fatalities of comparable age distribution. It was shown that, depending on the functional state of the intervertebral disk, the contrast medium flowed from the central depot into the "degenerative" cleft systems, from there frequently in front of the posterior longitudinal ligament into the uncovertebral joints and from there into the epidural space even in injured movement segments. On the other hand, despite the large number of false positive results only a relatively small percentage of the injuries was investigated. Discography would be a specific diagnostic method merely for central intervertebral disk disruption. However, this injury type is a rare special form.
为了证明颈椎间盘造影的诊断价值，对70例创伤性死亡病例和30例年龄分布相近的非创伤性死亡病例进行了尸检研究。结果表明，根据椎间盘的功能状态，造影剂从中央储存库流入“退变”裂隙系统，常常从那里经后纵韧带前方流入钩椎关节，再从钩椎关节流入硬膜外间隙，即使在受伤的运动节段也是如此。另一方面，尽管假阳性结果数量众多，但仅对相对较小比例的损伤进行了检查。椎间盘造影仅对中央型椎间盘破裂是一种特异性诊断方法。然而，这种损伤类型是一种罕见的特殊形式。
