COMPARISON OF CONTRAST-ENHANCED COMPUTED-TOMOGRAPHY AND GADOLINIUM-ENHANCED MAGNETIC-RESONANCE-IMAGING ONE-YEAR AFTER LUMBAR DISKECTOMY

被引:15
作者
TULLBERG, T
GRANE, P
RYDBERG, J
ISACSON, J
机构
[1] Departments of Department of Orthopaedics, St. Gorans Hospital, Stockholm
[2] Department of Radiology, St. Gorans Hospital, Stockholm
[3] Department of Neuroradiology, Karoiinska Hospital, Stockholm
[4] Department of Orthopaedics, Karoiinska Hospital, Stockholm
关键词
CT; MRI; CONTRAST ENHANCED; POSTOPERATIVE; LUMBAR DISC HERNIA; COMPARISON;
D O I
10.1097/00007632-199401001-00012
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Computed tomography (CT) and magnetic resonance imaging (MRI) with intravenous contrast were performed on a prospective group of 35 consecutive patients 1 year after surgery for disc herniation. The aim of the study was to compare the two methods in the analysis of postoperative changes. Computed tomography showed, compared with MRI, more extensive scar tissue in 12 patients and increased deformation of the dural sac in 5 patients. However, the nerve root was better delineated by MRI, and this facilitated the assessment of root thickening in 13 patients and root displacement, which could not be seen by CT in seven patients. MRI revealed four small protrusions that were not visible with CT. The two methods were found to be of equal value in regard to findings such as disc herniations and foraminal stenosis, which might influence the surgeons decision to perform repeat surgery.
引用
收藏
页码:183 / 188
页数:6
相关论文
共 19 条
[1]  
Albeck M.J., Kjaer L., Praestholm J., Vestergaard A., Hen-Riksen O., Gjerris F., Magnetic resonance imaging, computed tomography, and myelography in the diagnosis of recurrent lumbar disc herniation, Acta Neurochirurgica, 102, pp. 122-126, (1990)
[2]  
Bundschuh C.V., Modic M.T., Ross J.S., Masaryk T.J., Bohl-Man H., Epidural fibrosis and recurrent disk herniation in the lumbar spine. MR imaging assessment, AJR, 150, pp. 923-932, (1988)
[3]  
Cervellini P., Curr D., Bernardi L., Volpin L., Benedetti A., Computed tomography after lumbar disc surgery: A comparison between symptomatic and asymptomatic patients, Acta Neurochirurgica, 43, pp. 44-47, (1988)
[4]  
Ebeling U., Kalbarcyk H., Reulen H.J., Microsurgical reoperation following lumbar disc surgery: Timing, surgical findings, and outcome in 92 patients, J Neurosurg, 70, (1989)
[5]  
Goald H.J., A new microsurgical reoperation for failed lumbar disc surgery, Microsurgery, 7, pp. 63-66, (1986)
[6]  
Heilbronner R., Fankhauser H., Schnyder P., De Tribolet N. Computed tomography of the postoperative intervertebral disc and lumbar spinal canal, Serial Long-Term Investigation in 19 Patients after Successful Operation for Lumbal Disc hernia¬tion. Neurosurgery, 28, pp. 1-7, (1991)
[7]  
Hueftle M.G., Modic M.T., Ross J.S., Masaryk T.J., Carter J.R., Wilber R.G., Bohlman H.H., Steinberg P.M., Delamarter R.B., Lumbar spine. Postoperative MR imaging with Gd-DTPA, Radiology, 167, pp. 817-824, (1988)
[8]  
Irstam L., Differential diagnosis of recurrent lumbar disc herniation and postoperative deformation by myelography: An impossible task, Spine, 9, pp. 759-763, (1984)
[9]  
Jensen T.T., Overgaard S., Thomsen N.B., Kramp S., Petersen O.F., Hansen J.H., Postoperative computed tomography three months after lumbar disc surgery: A prospective single-blind study, Spine, 16, pp. 620-622, (1991)
[10]  
Montaldi S., Fankhauser H., Schnyder P., De Tribolet N. Computed tomography of the postoperative intervertebral disc and lumbar spinal canal, Investigation of Twenty-Five Patients after Successful Operation for Lumbar Disc Herniation. Neurosurgery, 22, pp. 1014-1022, (1988)