AN OBSERVATION OF RUPTURED ANNULUS FIBROSUS IN LUMBAR DISKS

被引：6

作者：

ITO, S

YAMADA, Y

TSUBOI, S

YAMADA, Y

MURO, T

机构：

[1] Department of Orthopedic Surgery, Social Insurance Chukyo Hospital, Nagoya

[2] Department of Orthopedic Surgery, Prefectural Tajimi Hospital, Gifu

来源：

JOURNAL OF SPINAL DISORDERS | 1991年 / 4卷 / 04期

关键词：

LUMBAR DISCOGRAPHY; CT DISCOGRAPHY; LUMBAR DISK HERNIATION; RADIAL RUPTURE OF ANNULUS FIBROSUS; CIRCUMFERENTIAL RUPTURE OF ANNULUS FIBROSUS;

D O I：

10.1097/00002517-199112000-00009

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

To observe anatomical or pathological changes in lumbar intervertebral discs, discography and computed tomography-discography (CTD) were performed on fresh human cadavers. The results of discograms and CTD were compared with histological findings of cross sections of discs. Preoperative CTD of lumbar disc herniation was investigated based on these results. Ruptures of the annulus fibrosus were divided into two categories: circumferential rupture and radial rupture. In CTD images of fresh human cadavers, most images of rupture of the annulus fibrosus showed anterior to lateral circumferential rupture. As disc degeneration progressed, circumferential rupture tended to coexist with radial rupture in many cases. In CTD cases of lumbar disc herniation, most images of ruptures of the annulus fibrosus showed a posterior radial rupture, which was the route for herniated nucleus. The greater the degree of degeneration, the more the images tended to show radial ruptures coexisting with circumferential ruptures.

引用

页码：462 / 466

页数：5

共 19 条

[1]

Collins H.R., An evaluation of cervical and lumbar discography, Clin Orlhop, 107, pp. 133-138, (1975)

[2]

Erlacher P.R., Nucleography. J Bone Joint Surg [Br], 34, pp. 204-210, (1952)

[3]

Feinberg S.B., The place of diskography in radiology as based on 2, 320 cases, Am J Roentgenol Radium Ther Nucl Med, 92, pp. 1275-1281, (1964)

[4]

Grenier N., Vital J.M., Greselle J.F., Richard O., Houang B., Pinol-Daubisse H., Senegas J., CT-diskography in the evaluation of the postoperative lumbar spine: Preliminary results, Neuroradiology, 30, pp. 232-238, (1988)

[5]

Gresham J.L., Miller R., Evaluation of the lumbar spine by diskography and its use in selection of proper treatment of the herniated disk syndrome, Clin Orthop, 67, pp. 29-41, (1969)

[6]

Hudgins W.R., Diagnostic accuracy of lumbar discography, Spine, 2, pp. 305-309, (1977)

[7]

Ito S., Clinical evaluation of lumbar CT-assisted discography in comparison with human cadaver (In Japanese), J Jpn Orthop Assoc, 62, pp. 345-358, (1988)

[8]

Kieffer S.A., Stadlan E.M., Mohandas A., Peterson H.O., Discogra- phic-anatomical correlation of development changes with age in the intervertebral disc, Acta Radiol Diagnos, 9, pp. 733-739, (1969)

[9]

Legre J., Louis R., Serrano R., Debaene A., Anatomoradiological considerations about lumbar discography: An experimental study, Neuroradiology, 17, pp. 77-82, (1979)

[10]

Lindblom K., Diagnostic puncture of intervertebral disks in sciatica, Acta Orthop Scand, 17, pp. 231-239, (1948)

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