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A comparison of computed tomography and myelography in the diagnosis of lumbar disc herniation

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Summary

Ninety patients suspected to have a herniated lumbar disc were examined by myelography and computed tomography (CT). Of these, 37 were subjected to surgery. The surgical findings were in agreement in 21 patients (57%) with the myelograms and in 28 patients (76%) with the CT examinations. False-positive CT examinations were found in only one patient. CT is as reliable as myelography in the primary diagnosis of disc herniation.

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References

  1. Amundsen P, Helsingen P, Kristiansen K (1963) Evaluation of lumbar radioculography (myelography) with water-soluble contrast media. Acta Radiol [Diagn] 1:659–665

    Google Scholar 

  2. Benjamin V, Mangiardi JR, Lin J, Bann I (1982) The value of computed tomography versus conventional myelography in the diagnosis and surgical treatment of lumbar disc disease. 51st Annual Meeting of the American Association of Neurological Surgeons. Honolulu, Hawaii, April

  3. Coin GC, Keranen V, Pennink M, Ahmad WD (1978) Computerized tomography of the spine and its contents. Neurol Radiol 16:271–272

    Google Scholar 

  4. Eldevik O, Dugstad G, Orrison WW, Haughton VM (1982) The effect of clinical bias on the interpretation of myelography and spinal computed tomography. Radiology 145:85–89

    Google Scholar 

  5. Fries JW, Abodeely D, Vijunco J, Yeager Y, Gaffey W (1982) Computed tomography of herniated and extruded nucleus pulposus. J Comput Assist Tomogr 6 (5):874–887

    Google Scholar 

  6. Glasauer FE, Alker G (1983) Metrizamide-enhanced computed tomography: An adjunct to myelography in the lumbar disc herniation. Comp Radiol 7 (5):305–310

    Google Scholar 

  7. Glenn WV, Rhodes ML, Altschuler EM, Wiltse LL, Kostanke C, Kuo YM (1979) A multiplanar display of computerized body tomography applications in the lumbar spine. Spine 4:282–294

    Google Scholar 

  8. Griebel R, Tchang S, Khan M, Varughese G (1983) Correlation of computed tomography with surgical diagnosis and lumbar disc disease. Can J Neurol Sci 10:248–251

    Google Scholar 

  9. di Guglielmo O, Garbagna G, Cornalba G, Vadala G, Villa A, Ballarati P (1982) Vallore della tomografia computerizzata nella diagnosi de ernia del disco lombare. La Radiol Med 68:51–56

    Google Scholar 

  10. Hammerschlag SB, Wolpert SM, Carter BL (1976) Computed tomography of the spinal canal. Radiology 121:361–367

    Google Scholar 

  11. Haughton WM, Eldevik O, Magnaes B, Amundsen F (1982) A prospective comparison of computed tomography and myelography in the diagnosis of herniated lumbar discs. Radiology 142:103–110

    Google Scholar 

  12. Hirofuji E, Tanaka S (1983) Computed tomography and lumbar disc herniation. Spine 8 (3)

  13. Hudgins WR (1970) The predictive value of myelography in the diagnosis of ruptured lumbar discs. J Neuro Surg 32:152–162

    Google Scholar 

  14. Lee B, Kazam E, Newman AD (1978) Computed tomography of the spine and spinal canal cord. Radiology 128:95–102

    Google Scholar 

  15. Meyer GA, Haughton WM, Williams AL (1979) Diagnosis of herniated lumbar disc with computed tomography. N Engl J Med 301:1166–1167

    Google Scholar 

  16. Mikhael MA (1983) High-resolution computed tomography in the diagnosis of laterally herniated lumbal discs. Comp Radiol 7 (3):161–166

    Google Scholar 

  17. Nazih A, Rusell WH, Weinstein MA (1983) Computed tomographic-myelographic and operative findings in patients with suspected herniated lumbar discs. Neuro Surg 12 (2)

  18. von D zur Nedden, Hammer B, Mohsenipour I (1983) Der Stellenwert von computertomographischen Untersuchungen beim lumbalen Diskusprolaps: Ein Vergleich zwischen CT-Geräten der 2. und 3. Generation. Roentgen Praxis 36:354–358

    Google Scholar 

  19. Svensson RG, Hessel SJ, Herman PG (1977) Omissions in radiology: Faulty search or stringent reporting criteria? Radiology 123:563–567

    Google Scholar 

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Gillström, P., Ericsson, K. & Hindmarsh, T. A comparison of computed tomography and myelography in the diagnosis of lumbar disc herniation. Arch. Orth. Traum. Surg. 106, 12–14 (1986). https://doi.org/10.1007/BF00435644

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  • DOI: https://doi.org/10.1007/BF00435644

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