Acta Neurochirurgica

, Volume 116, Issue 1, pp 44–48 | Cite as

Diagnosis of cervical disc disease

MRI versus cervical myelography
  • G. Perneczky
  • F. W. Böck
  • A. Neuhold
  • M. Stiskal
Clinical Articles


In a prospective study of 63 surgical patients cervical myelography was compared with MRI to establish the relative value of the 2 diagnostic procedures in patient selection for surgery of ruptured cervical discs and bony nerve root compression. While MRI in the T1-weighted and gradient echo modes matched the diagnostic accuracy of invasive myelography (95%), T1 and T2-weighted MRI images alone were associated with an error rate of 10%. In patients with medial protrusion myelography did not always show the true extent of compression, whereas MRI tended to miss small laterally protruding disc fragments. Cervical myelography continues to have a place in the diagnosis of cervical disc disease, whenever clinical signs and symptoms do not agree with MRI data.


Cervical discectomy cervical radiculopathy cervical myelopathy disc herniation myelography magnetic resonance imaging MRI 


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  1. 1.
    Ammudsen P, Skalpe IO (1975) Cervical myelography with water contrast medium. Neuroradiology 8: 209–214Google Scholar
  2. 2.
    Benini A, Krayenbühl H, Brüderl R (1982) Anterior cervical discectomy without fusion. Microsurgical technique. Acta Neurochir (Wien) 61: 105–110Google Scholar
  3. 3.
    Bollati A, Galli G, Gandolfini H, Marini G, Gatta G (1983) Microsurgical anterior cervical disc removal without interbody fusion. Surg Neurol 19: 329–333Google Scholar
  4. 4.
    Cloward RB (1958) The anterior approach for removal of ruptured cervical disc. J Neurosurg 15: 602–614Google Scholar
  5. 5.
    Enzmann DR, Rubin JB (1988) Cervical spine: MR Imaging with a partial flip angle gradient-refocused pulse sequence. Radiology 166: 467–473Google Scholar
  6. 6.
    Epstein JA, Janin Y, Carras R, Lavine LS (1982) A comparative study of the treatment of cervical spondylotic myeloradiculopathy. Acta Neurochir (Wien) 61: 89–104Google Scholar
  7. 7.
    Flannigan BD, Lufkin RB, Mc Glade Ch, Winter J, Bazdorf U, Wilson G, Rauschning W, Bradley Jr WG (1987) MR Imaging of the cervical spine: neurovascular anatomy. AJNR 8: 27–32Google Scholar
  8. 8.
    Frykholm R (1951) Lower cervical vertebral and intervertebral discs. Surg. anatomy and pathology. Acta Chir Scand 101: 345–359Google Scholar
  9. 9.
    Frykholm R (1969) Die zervikalen Bandscheibenschäden. In: Olivecrona H, Tönnis W (eds) Handbuch der Neurochirurgie, Bd VII/1. Springer, Berlin Heidelberg New York, pp 73–163Google Scholar
  10. 10.
    Grisoli F, Graziani N, Fabrizi AP, Peragut JC, Vincentelli F, Diaz-Vasquez P (1989) Anterior discectomy without fusion for treatment of cervical lateral soft disc extrusion: a follow-up of 120 cases. Neurosurgery 24: 953–960Google Scholar
  11. 11.
    Hedberg Mary, Drayer BP, Flana RA, Hodak JA, Bird CR (1988) Gradient echo (grass) MR Imaging in cervical radiculopathy. AJNR 9: 145–151Google Scholar
  12. 12.
    Horcajada-Moya J (1986) Zur Klinik und Therapie der zervikalen Diskushernien — Erfahrungen mit 130 Fällen. Acta Chir Austriaca 18: 405–411Google Scholar
  13. 13.
    Husag L, Probst Ch (1984) Microsurgical anterior approach to cervical discs. Acta Neurochir (Wien) 73: 229–242Google Scholar
  14. 14.
    Jeffreys RV (1979) The surgical treatment of cervical spondylotic myelopathy. Acta Neurochir (Wien) 47: 293–305Google Scholar
  15. 15.
    Mosdal C, Overgaard J (1984) Lateral cervical facetectomy. The surgical pathology of radicular brachialgia. Acta Neurochir (Wien) 70: 199–205Google Scholar
  16. 16.
    Mosdal C (1984) Cervical osteochondrosis and disc herniation. Eighteen years use of interbody fusion by Cloward's technique in 755 cases. Acta Neurochir (Wien) 70: 207–225Google Scholar
  17. 17.
    Nakstad PH, Hald JK, Bakke SJ, Skalpe IO, Wiberg J (1989) MRI in cervical disc herniation. Neuroradiology 31: 382–385Google Scholar
  18. 18.
    Piepgras DG (1977) Posterior decompression for myelopathy due to cervical spondylosis. Laminectomy above laminotomy with dentate ligament section. Clin Neurosurg 24: 508–515Google Scholar
  19. 19.
    Samii M, Völkening D, Sepehrnia A, Penkert G, Baumann H (1989) Surgical treatment of myeloradioculopathy in cervical spondylosis. A report on 438 operations. Neurosurg Rev 12: 285–290Google Scholar
  20. 20.
    Stellamor V, Stellamor K, Perneczky G (1984) Intrathekale Röntgenkontrastierung — Erfahrungen mit Jopamidol. Röntgenpraxis 37: 213–219Google Scholar
  21. 21.
    Teresi ML, Lufkin RB, Reicher MA, Moffit BJ, Vinuela FV, Wilson GM, Bentson JR, Hanfee WN (1987) Asymptomatic degenerative disc disease and spondylosis of the cervical spine: MR Imaging. Radiology 164: 83–88Google Scholar

Copyright information

© Springer-Verlag 1992

Authors and Affiliations

  • G. Perneczky
    • 1
  • F. W. Böck
    • 1
  • A. Neuhold
    • 2
  • M. Stiskal
    • 1
  1. 1.Neurosurgical DepartmentKrankenanstalt RudolfstiftungWienAustria
  2. 2.Department for Nuclear Magnet Resonance TomographyPrivatkrankenhaus RudolfinerhausWienAustria

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