The Advantages of Computed Tomography over Conventional X-ray Examination in the Treatment of Cervical Spinal Diseases

概要

論文の詳細を見る
Computed tomography (CT) of the cervical spinal column was carried out in 42 patients using a General Electric CT/T or a Toshiba TCT60 Type A scanner. There were 22 cervical disk lesions, 4 spinal neoplasms, 6 narrow spinal canals with or without ossification of posterior longitudinal ligament, 2 syringomyelias, 6 traumas and 2 Arnold-Chiari malformations. In all patients, CT-examination followed conventional spinal X-ray studies. Correlation between the CT and conventional X-ray findings revealed the better diagnostic capability of the CT. For example, the measured midline sagittal diameter of the spinal canal in a patient with the narrowest canal in this series was 7.4mm on the CT and 9.6mm on the conventioned plain film at the C_5 level. To know the precise sagittal diameter of the cord itself, CT myelography (CTM) is indispensable. CTM is useful in determining the nature of the disease, the risk and approach of surgery, and for evaluation after the surgical procedure. Although the range of motion of cervical joints and intervertebral foramen are visible with conventional films, the size and extension of a tumor, the degree of bony errosion and the spinal subarachnoid space can be precisely identified only by CT. CT study of the spine and spinal cord is a simple procedure and less likely to produce complication, even with CTM, although there are certain limitations in the examination which are also presented.
日本脳神経外科学会の論文
1982-07-15

The Advantages of Computed Tomography over Conventional X-ray Examination in the Treatment of Cervical Spinal Diseases

スポンサーリンク

概要

著者

関連論文

スポンサーリンク