Kuckein D
Rontgenblatter. 1981 Oct;34(10):387-93.
CT of the spinal canal as a method of neuroradiological examination has increasingly gained significance. So far, it has been used in addition to conventional Xray of the spine and to myelography; however special indications have been established to make it the method of choice in certain instances. Besides invasive secondary or primary CT myelography, noninvasive CT is applied in tumor diagnosis and traumatology; also in order to demonstrate dysraphic formative anomalies, degenerative changes as well as conditions which obstruct the spinal canal and compress spinal cord and nerve roots. CT has the advantage of better soft- tissue-visualization while the spinal canal is equally well outlined; it has no disadvantages. With even more efficient scanners available, especially primary CT diagnosis of the spine will gain further significance.
椎管CT作为一种神经放射学检查方法,其重要性日益增加。到目前为止,它一直是作为脊柱传统X线检查和脊髓造影的补充手段使用;然而,已经确立了特殊的适应证,使其在某些情况下成为首选方法。除了有创的继发性或原发性CT脊髓造影外,无创CT还应用于肿瘤诊断和创伤学;也用于显示神经管闭合不全的形成性异常、退行性改变以及阻塞椎管并压迫脊髓和神经根的情况。CT的优点是能更好地显示软组织,同时椎管也能清晰显示;它没有缺点。随着更高效的扫描仪问世,尤其是脊柱的原发性CT诊断将具有更大的意义。