脊椎・脊髄疾患における脊髄造影後CTの必要性に関する検討

• 金 景成

  日本医科大学千葉北総病院脳神経センター:釧路労災病院脳神経外科

• 井須 豊彦

  釧路労災病院脳神経外科

• 菅原 淳

  釧路労災病院脳神経外科

• 松本 亮司

  釧路労災病院脳神経外科

• 磯部 正則

  釧路労災病院脳神経外科

• 小林 士郎

  日本医科大学千葉北総病院脳神経センター

• 寺本 明

  日本医科大学脳神経外科

書誌事項

タイトル別名

• The Utility and Necessity of CT Myelography in diagnosing Spinal Disease

抄録

objective : We report on the utility and necessity of myelography and CT myelography in diagnosing spinal disease. methods : The study population consisted of 150 patients who had undergone spinal surgery in our institution within the past one year ; cervical disease was involved in 42 cases, thoracic in 4 cases and lumbar in 104 cases. The utility of these procedures was evaluated according to 3 stages : 1.) necessity, 2.) usefulness and 3.) non-necessity. Moreover, to enable evaluation according to disease distribution, the disease was further classified into four (4) types based on location : lateral disease (group A), medial- (group B), stenotic- (group C) and others (group D). results : The myelography and CTM necessity cases comprised 18 (42.9%) cases of cervical disease and 30 (28.8%) cases of lumbar disease. The: non-necessity cases 14 (33.3%) cases of cervical disease, all thoracic and 65 (62.5%) cases of lumbar disease, and the other cases were categorized by their usefulness. In lateral disease (group A), the necessity cases were mede up of 15 (75.0%) cases of cervical disease and 13 (56.5%) cases of lumbar disease. In medial cases and stenotic cases, the non-necessity cases accounted for 3 (25.0%) and none 0% of cervical disease, and 1 (16.7%) and 16 (25.8%) of lumbar cases. At any rate, all reoperation cases were classified as CTM necessity and usefulness cases. conclusions : Myelography and CTM are necessary in those cases where MRI is unusable and post operation. They are useful procedures in cases which have instability and/or lateral disease, and which are not definable from the responsibility point of view from several neurological studies. On the other hand, these procedures lack the necessity in cases involving thoracic region, clear disc herniation and cases with severe stenosis.

収録刊行物

• 脊髄外科

  脊髄外科 22 (1), 10-16, 2008

  日本脊髄外科学会

キーワード

• spinal disease
• myelography
• CT myelography
• utility

詳細情報

• CRID: 1390001205231275136
• NII論文ID: 110006687255
• NII書誌ID: AN10283463
• DOI: 10.2531/spinalsurg.22.10
• ISSN: 18809359
• ISSN: 09146024
• ISSN: http://id.crossref.org/issn/09146024
• Web Site: https://www.jstage.jst.go.jp/article/spinalsurg/22/1/22_KJ00004936976/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2009000001
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可