Pay N T, George A E, Benjamin V, Bergeron T, Lin J P, Kricheff I I
Radiology. 1977 Apr;123(1):103-11. doi: 10.1148/123.1.103.
The myelograms of 60 acutely injured patients were reviewed. Positive contrast material (Pantopaque) was preferred in cervical and thoracic trauma manifesting bony deformity, in cervical trauma without bony deformity (in the prone position), in delineating the thoracic spinal cord in the frontal projection, and in lumbar spinal injuries. Negative contrast material (air) was preferred in cervical trauma without bony deformity, to delineate the thoracic spinal cord in the lateral projection and in chronic trauma to demonstrate cord atrophy. An experimental, water-soluble positive contrast material (Amipaque) may show the spinal cord advantageously in both the anteroposterior and lateral projections and may be more extensively used. A protocol has been devised, based on the analysis of the myelographic findings.
回顾了60例急性损伤患者的脊髓造影。对于表现为骨质畸形的颈椎和胸椎创伤、无骨质畸形的颈椎创伤（俯卧位）、在额位投影中描绘胸段脊髓以及腰椎脊髓损伤，首选阳性造影剂（碘苯酯）。对于无骨质畸形的颈椎创伤，为在侧位投影中描绘胸段脊髓以及在慢性创伤中显示脊髓萎缩，首选阴性造影剂（空气）。一种实验性的水溶性阳性造影剂（阿米培克）在前后位和侧位投影中都可能更有利地显示脊髓，并且可能会得到更广泛的应用。基于对脊髓造影结果的分析，制定了一个方案。
