Ciapetta P, Celli P, Delfini R, Cantore G P
Zentralbl Neurochir. 1982;43(1):77-84.
4 cases of thoracic disk protrusion were studied with spinal CT and with either plain X rays of myelography, until now the only tools for a precise diagnosis. In patients with a thoracic compression syndrome and a calcification within the canal CT alone clinches the diagnosis, as it does in cases in which the calcified material is not detectable but the clinical symptoms point to a precise lesion level. In such cases myelography is unnecessary. It should however be done first when neither the clinical symptoms nor the plain X rays indicate the level of the lesion.
对4例胸椎椎间盘突出症患者进行了脊柱CT检查,并结合普通X线或脊髓造影检查,而脊髓造影检查是目前为止用于精确诊断的唯一手段。对于患有胸椎压迫综合征且椎管内有钙化的患者,仅CT就能确诊,在钙化物质无法检测到但临床症状指向精确病变水平的病例中也是如此。在这些情况下,脊髓造影是不必要的。然而,当临床症状和普通X线均未显示病变水平时,应首先进行脊髓造影检查。