2009, Number 4
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Anales de Radiología México 2009; 8 (4)
Utilidad de la resonancia magnética dinámica: flexión y extensión de la columna cervical y lumbar en el estudio del paciente con dolor
Marín MDP, Salgado SG, Flores AE, Campos LJ
Language: Spanish
References: 22
Page: 291-299
PDF size: 448.50 Kb.
ABSTRACT
Background: The pain of cervical and lumbar spine is usually benign and self-limiting in 90% of cases of complex etiology, high frequency and tendency to chronicity. Lumbar disk herniation and degenerative disc disease is one of the most common causes of back pain
Objectives: 1. Compare the findings from MRI studies neutral and modifications to the component level of the column to the application of flexion and extension movements in the evaluation of kinetic-dependent disease. 2. Emphasize the importance of dynamic MRI studies for better evaluation of the quantitative nature of the hernia.
Material and methods: A descriptive and transversal study in which the team used 1.5 Tesla, Siemens Symphony. The routine examination and conventional MRI sequences included in dynamic position: Flexion and Extension Axial and sagittal. T2 Spin Echo sequence: TR: 4000. Comprendidkkgfggfo During the period between March-June 2009 20 Dynamic MRI of lumbar spine and cervical 17.
The patient group included 17 men and 21 women ranging in age from 18 to 87 years in the male population and between 25 and 87 in the female population.
Results: All cases showed fluctuating disc herniation in MRI signal loss compatible with dehydration, and morphological alteration of the intervertebral space with height reduction. Magnetic Resonance in size tends to show greater degrees of central canal stenosis and decreased the amplitude of the neural foramina of unilateral or bilateral, while bending images show a small decrease in dural contact generated by the disc herniation and increase in amplitude of the neural foramina. herniated disc.
Conclusions: 1. Diagnose the effects of maneuvers cineticodinámicas level degenerative disc disease, dysfunctional intersegmental motion and hypermobile intersegmental instability as a result of ligamentopatía translational intersegmental (laxity or rupture). 2. It can identify the effects of maneuvers cineticodinámicas in spinal neural foramina and compromise the neurovascular pop. 3. Adequate exploration potential of the patient in the position of clinically relevant signs and symptoms. 4. This study allows examination of the patient in a different position, allowing the surgeon to have a true picture of the morphology preoperative intraoperative.
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