Schulitz K P, Schöppe K
Klinik Heinrich-Heine-Universität Düsseldorf Orthopädische Klinik.
Z Orthop Ihre Grenzgeb. 1994 Jan-Feb;132(1):25-32. doi: 10.1055/s-2008-1039816.
The treatment of disc diseases, in particular the broad spectrum of surgical procedures for pathology with radicular and transmitted symptoms, calls for a differentiated appraisal of disc pathology. The information content of different imaging methods (CT, Disco-CT, NMI) in the various types of degenerative disc diseases was compared in a prospective study (92 patients) and verified at surgery. In accordance with experimental studies a Discus CT classification (Types I-V) was taken as a basis. Categories IV (general degeneration) and V (annulus rupture) were divided into three levels of severity (a-c). The sensitivity and specificity of Disco-CT for disc herniation, i.e. 97% and 93%, respectively, are markedly higher than those of CT or NMI. Similar results were obtained in distinguishing different types of disc morphology. The choice of imaging procedures for diagnosing causes of sacral/leg pain with radicular symptoms is illustrated with reference to the results.
椎间盘疾病的治疗，尤其是针对伴有神经根性症状和传导性症状的病理状况的广泛外科手术，需要对椎间盘病理进行差异化评估。在一项前瞻性研究（92例患者）中，比较了不同成像方法（CT、椎间盘CT、核磁共振成像）在各类退行性椎间盘疾病中的信息含量，并在手术中得到验证。根据实验研究，以椎间盘CT分类（I - V型）为基础。IV类（一般退变）和V类（纤维环破裂）又分为三个严重程度级别（a - c）。椎间盘CT对椎间盘突出的敏感性和特异性分别为97%和93%，明显高于CT或核磁共振成像。在区分不同类型的椎间盘形态方面也得到了类似结果。参考这些结果说明了针对伴有神经根性症状的骶部/腿部疼痛病因诊断的成像检查方法选择。
