Correlative study on findings of dynamic myelography and surgical operation in non-bony lumbar spinal canal stenosis.
The authors performed dynamic lumbar myelography with Omnipaque on 110 patients from 1990 to 1992, of them, 33 cases were diagnosed as non-bony lumbar spinal canal stenosis according to contrast medium defect seen on the lateral view of the myelogram. All such cases were operated on and their dynamic pathological findings during the operation were recorded to compare with the abnormal findings observed on the myelograms, there was a high coincidence rate of 88.7%. The authors believe that the fibrous degenerative changes make up the basis of dural sac compression and the dynamic compression in the spinal canal plays a very important role in causing the severity of the stenosis. As the dynamic pathological findings on the myelograms can not be well demonstrated on CT scanning and MR imaging, the dynamic lumbar myelography should be the method of choice for use in some cases.
Lian
P
P
Department of Orthopedics, Chinese PLA 85th Hospital, Shanghai.
Liu
D X
DX
Sun
R H
RH
Yang
G C
GC
Jia
L S
LS
Xu
Y K
YK
D000328:Adult; D003287:Contrast Media; D005260:Female; D006801:Humans; D017843:Ligamentum Flavum / Q000473:pathology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009192:Myelography / Q000379:methods; D013130:Spinal Stenosis / Q000000981:diagnostic imaging* / Q000601:surgery*
D003287:Contrast Media