Tomografía computarizada y resonancia magnética en las enfermedades dolorosas del raquis: aportaciones respectivas y controversias

Santiago, Fernando Ruíz; García, María del Carmen Pérez; Álvarez, Luis; Moreno, M. Tello

doi:10.1016/j.rx.2010.10.003

Cited by 9 publications

(6 citation statements)

References 67 publications

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“…Among common spine degenerative imaging findings, Modic Type 1 changes and intense extensive zygapophyseal oedematous changes are more likely to correlate with LBP [66] , [67] , [68] , [69] , [70] , [71] . Modic changes have been shown in 20–50% of the people with LBP, although they are also present in 10–25% of the asymptomatic patients [72] , [73] .…”

Section: Common Spine Degenerative Imaging Findings In Patients With mentioning

confidence: 99%

“…Vertebral endplate signal abnormalities may also be present in other conditions that should be differentiated from Modic changes based on clinical and imaging findings. These include the Anderson and Romanus lesions in seronegative spondyloarthropathies, the subligamentous oedema in diffuse idiopathic skeletal hyperostosis, haemodialysis spondyloarthropathy, neuropathic spine and infectious spondylodiscitis [70] , [86] .…”

Section: Common Spine Degenerative Imaging Findings In Patients With mentioning

confidence: 99%

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Informed appropriate imaging for low back pain management: A narrative review

Wáng

Santiago

et al. 2018

Journal of Orthopaedic Translation

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Most patients with acute low back pain (LBP), with or without radiculopathy, have substantial improvements in pain and function in the first 4 weeks, and they do not require routine imaging. Imaging is considered in those patients who have had up to 6 weeks of medical management and physical therapy that resulted in little or no improvement in their LBP. It is also considered for those patients presenting with suspicion for serious underlying conditions, such as cauda equina syndrome, malignancy, fracture and infection. In western country primary care settings, the prevalence has been suggested to be 0.7% for metastatic cancer, 0.01% for spinal infection and 0.04% for cauda equina syndrome. Of the small proportion of patients with any of these conditions, almost all have an identifiable risk factor. Osteoporotic vertebral compression fractures (4%) and inflammatory spine disease (<5%) may cause LBP, but these conditions typically carry lower diagnostic urgency. Imaging is an important driver of LBP care costs, not only because of the direct costs of the test procedures but also because of the downstream effects. Unnecessary imaging can lead to additional tests, follow-up, referrals and may result in an invasive procedure of limited or questionable benefit. Imaging should be delayed for 6 weeks in patients with nonspecific LBP without reasonable suspicion for serious disease.The translational potential of this article: Diagnostic imaging studies should be performed only in patients who have severe or progressive neurologic deficits or are suspected of having a serious or specific underlying condition. Radiologists can play a critical role in decision support related to appropriateness of imaging requests, and accurately reporting the potential clinical significance or insignificance of imaging findings.

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Section: Common Spine Degenerative Imaging Findings In Patients With mentioning

confidence: 99%

Section: Common Spine Degenerative Imaging Findings In Patients With mentioning

confidence: 99%

Informed appropriate imaging for low back pain management: A narrative review

Wáng

Santiago

et al. 2018

Journal of Orthopaedic Translation

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“…The MRI may also depends on the time of the study since there may be regression in the size of the HD during a 5 to 12-month period, or it may even completely disappear as already described Komori et al (1996), Bush et al (1997), and Westmark et al (1997) [54,55,56]. Moreover, MRI has revealed that most HD are central or paracentral, but only a few affect the intervertebral foramina [57,58]. On the other hand, structural anomalies are not inexorably the cause of symptomatology [59].…”

Section: No Correlation Was Found Between C4-c5 Dis and C5 Radmentioning

confidence: 99%

Mri And Emg Findings In Patients With Cervicobrachialgia

González-Uriel

Casado

Pérez

et al. 2019

Preprint

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Background The aim of this study is to describe the alterations in complementary tests (MRI and EMG) in patients with cervicobrachialgia according to sex and age.Methods Retrospective study of 184 patients with cervicobrachialgia who underwent an MRI and/or EMG. The variables analyzed were gender, age, elements of spondylosis (osteophytes, arthropathy, spondylolisthesis and canal stenosis), the type of disc disease (protrusion and herniated disc) and curvature in the sagittal plane. The EMG was used to evaluate the neurogenic findings in the muscles dependent on the spinal roots of C4 to C8-T1.Results Average age 53.65±11.96 years. The patients were evaluated for the presence of osteophytes (n = 111), arthropathy (n = 76), spondylolisthesis (n = 15) and stenosis of the spinal canal (n = 35). The highest incidences were osteophytes in C5-C6 (n=108), protrusions in C5-C6 (n=58), herniated disc in C5-C6 (n=18) and neurogenic findings in C7 (n=130). The rectification of cervical lordosis appeared in 130 patients.Conclusions Spondylosis increases with age. Disc herniations, disc protrusions and motor radiculopathy were more frequent in the 5th to 6th years of life. In patients with cervicobrachialgia, the sagittal rectification is more common than the normal lordosis.

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“…Su diagnóstico se basa solo en algunos datos de semiología clínica, infiltraciones y algunos signos radiográficos inciertos. La TC aporta un gran detalle anatómico de las lesiones estructurales secundarias a degeneración facetaria: osteofitos, esclerosis y geodas subcondrales, pinzamiento del espacio articular, calcificaciones capsulares y ligamentarias (20). La RM es muy sensible a la presencia de derrame articular, quistes sinoviales o edema óseo.…”

Section: Dolor Facetario Síndrome Facetariounclassified

“…Se han descrito 3 tipos de desgarros del anillo fibroso (20): concéntricos, transversos y radiales. Los desgarros concéntricos y son un hallazgo común en estudios de autopsia de individuos mayores de 60 años y se consideran propios del envejecimiento del disco (27).…”

Section: Dolor Discogeno Enfermedad Degenerativa Discalunclassified

Intervencionismo guiado por tc en el manejo del dolor lumbar

García¹,

Mar²

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Tomografía computarizada y resonancia magnética en las enfermedades dolorosas del raquis: aportaciones respectivas y controversias

Cited by 9 publications

References 67 publications

Informed appropriate imaging for low back pain management: A narrative review

Informed appropriate imaging for low back pain management: A narrative review

Mri And Emg Findings In Patients With Cervicobrachialgia

Intervencionismo guiado por tc en el manejo del dolor lumbar

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