SPECT EVALUATION OF LUMBAR SPONDYLOLYSIS AND SPONDYLOLISTHESIS

被引：38
作者：
LUSINS, JO
ELTING, JJ
CICORIA, AD
GOLDSMITH, SJ
机构：
[1] A. O. Fox Memorial Hospital, Oneonta, NY
[2] Andre Meyer Department of Nuclear Medicine, Mt. Sinai School of Medicine, City University, NY
[3] University of Virginia School of Medicine, Charlottesville, VA
来源：
SPINE | 1994年 / 19卷 / 05期
关键词：
SPECT EVALUATION; SPONDYLOLISTHESIS; SPONDYLOLYSIS;
D O I：
10.1097/00007632-199403000-00018
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
Fifty patients with back pain and radiologically diagnosed spondylolysis were evaluated by a single-photon emission computed tomography (SPECT bone scanning). These patients were separated into three groups according to the degree of spondylolisthesis accompanying the spondylolysis. The data obtained from the study indicate that in acute spondylolysis, the SPECT scan is positive at the pars interarticularis. As the spondylolysis becomes chronic, the SPECT scan tends to revert toward normal even though healing of the spondylolysis has not occurred. As spondylolisthesis develops and progresses, the SPECT scan again becomes positive. The positivity, however, is more anterior and more diffuse. The authors propose that SPECT scanning in spondylolysis is not a positive or negative process, but rather varies with the time and stability of the spondylolytic spine.
引用
收藏
页码：608 / 612
页数：5
相关论文
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  • [1] Collier B.D., Johnson R.P., Carrera G.F., Et al., Painful spondylolysis or spondylolisthesis studied by radiology and singlephoton emission computed tomography, Radiology, 154, pp. 207-211, (1985)
  • [2] Farfan H.F., Muscular Mechanism of the Lumbar Spine and the Position of Power and Efficiency, 6, 1, pp. 135-142, (1975)
  • [3] Farfan H.F., Osteria V., Lamy C., The mechanical etiology of spondylolysis and spondylolisthesis, Clin Orthop, 117, pp. 40-55, (1976)
  • [4] Gelfand M.J., Strife J.L., Kereiakes J.G., Radionuclide bone imaging in spondylolysis of the lumbar spine in children, Radiology, 140, pp. 191-195, (1981)
  • [5] Jackson D.W., Wiltse L.L., Cirinciane R.J., Spondylolysis in the female gymnast, Clin Orthop, 117, pp. 68-73, (1976)
  • [6] Jackson D.W., Wiltse L.L., Dingeman R.D., Et al., Stress reactions involving the pars interarticularis in young athletes, Am J Sports Med, 9, pp. 304-312, (1981)
  • [7] Lowe R.W., Hayes D., Kaye, et al. Standing roentgenograms in spondylolisthesis, Clin Orthop, 117, pp. 80-84, (1976)
  • [8] Lusins J.O., Danielski E.F., Goldsmith S.J., Bone S., In patients with persistent back pain after lumbar spine surgery, J Nucl Med, 30, pp. 490-496, (1989)
  • [9] Steiner M.E., Micheli L.J., Treatment of symptomatic spondylolysis and spondylolisthesis with modified Boston brace, Spine, 10, pp. 937-943, (1985)
  • [10] Troup J., Mechanical factors in spondylolisthesis and spondylolysis, Clin Orthop, 117, pp. 59-67, (1976)
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