FAR LATERAL LUMBAR-DISK HERNIATIONS AND ASSOCIATED STRUCTURAL ABNORMALITIES - AN EVALUATION IN 60 PATIENTS OF THE COMPARATIVE VALUE OF CT, MRI, AND MYELO-CT IN DIAGNOSIS AND MANAGEMENT

被引:67
作者
EPSTEIN, NE
EPSTEIN, JA
CARRAS, R
HYMAN, RA
机构
[1] Department of Surgery, Division of Neurosurgery, Manhasset, NY
[2] Department of Radiology, Division of Neuroradiology, North Shore University Hospital, Manhasset, NY
[3] Cornell University Medical College, New York, NY
关键词
Far lateral disc; Myelo-CT; Myelogram;
D O I
10.1097/00007632-199006000-00019
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The management of 60 patients with far lateral lumbar disc herniations operated on over a 5-year period are presented. These lesions were located superiorly within the neural foramens beneath or distal to the facet joints. The type of surgery performed in 43 of 60 (72%) of these patients was significantly altered by the presence of diffuse and lateral recess stenosis. This was better appreciated on the myelogram and myelo-CT (M-CT) studies than with the noncontrast CT and MRI examinations alone. Myelo-CT findings were particularly valuable in assessing patients who had previous surgical proce­dures. © Lippincott-Raven Publishers.
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页码:534 / 539
页数:6
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