Non-corresponding radiological and surgical diagnoses in patients operated for sciatica.
One hundred and nine patients with radicular leg-pain underwent both computer-tomography and myelography and were subsequently operated upon. The diagnoses on computer-tomogram, myelogram and surgery failed to correspond in 41 cases. Stenosis of the bony spinal canal, scar formation, and an intra- or extraforaminal herniation were the most frequent causes of discrepancy in the diagnoses. In cases of spinal stenosis and previous disc surgery both computer-tomography and myelography have to be performed. Certain precautions taken during computer-tomography and myelography may reduce the number of discrepant findings.
Slebus
F G
FG
Department of Neurosurgery, University Hospital Dijkzigt, Erasmus University Rotterdam, The Netherlands.
Braakman
R
R
Schipper
J
J
van Dongen
K J
KJ
Westendorp-de Serière
M
M
D000293:Adolescent; D000328:Adult; D002648:Child; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009192:Myelography; D012585:Sciatica / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D013130:Spinal Stenosis / Q000175:diagnosis* / Q000000981:diagnostic imaging; D014057:Tomography, X-Ray Computed