Read M T
London Bridge Clinic, UK.
Br J Sports Med. 1994 Mar;28(1):56-7. doi: 10.1136/bjsm.28.1.56.
Nine cases of adolescent back pain show that a diagnosis of spondylolysis cannot be made on physical examination alone and that single photon emission computed tomography (SPECT) scanning revealed pars interarticularis stress lesions undiagnosable on planar technetium-99 bone scan. As management of spondylolysis differs from other lumbar dysfunctional problems SPECT scanning of children should be a sine qua non in extension related back pain with a normal radiograph and planar bone scintigraphy.
9例青少年背痛病例表明,仅通过体格检查无法诊断椎弓根峡部裂,而单光子发射计算机断层扫描(SPECT)显示关节突间部应力性损伤在平面99锝骨扫描中无法诊断。由于椎弓根峡部裂的治疗方法与其他腰椎功能障碍问题不同,对于X线片和平面骨闪烁显像正常但与伸展相关的背痛患儿,SPECT扫描应是必不可少的检查。