Computed tomorgaphy diagnostic of lumbar spondylolysis
Journal Title: Ortopedia Traumatologia Rehabilitacja - Year 2004, Vol 6, Issue 5
Abstract
Background. Low back pain is the main reason of reduction in physical activity. The aim of this study was to determine lumbar spine changes in patients with spondylolysis using computed tomography (CT) completed with multiplanar (MPR) and three-dimensional (3D) reconstructions. Material and methods. The investigation was performed on 35 patients at the age from 13 to 79 years suffering from chronic low back pain with recognised lumbar spondylolysis. All these patients were subjected to anteroposterior and lateral radiography, and computed tomography (CT) and CD reconstructionsResults. Spondylolysthesis was diagnosed as grade I in thirty patients, grade II in two patients and grade IV in other two patients. No signs of spondylolysthesis observed in three cases. The deformations of intervertebral foramina were confirmed in 26 patients (74.29%) and their craniocaudal narrowing was present in 22 cases (62.86%). The osteophytes around fissure margin of lumbar spondylolysis were found in 20 patients (57.14%). The herniation of nucleus pulposus of intervertebral disc was shown in 11 patients (31.43%). The degenerative changes of L4-L5 and L5-S1 intervertebral joints were present in 9 cases (25.71%), whereas the spina bifida of S1 vertebra was stated in four patients (11.43%).Conclusions. 1. High percentage of deformations and narrowing of the intervertebral foramen and the osteophytes around fissure margin of lumbar spondylolysis, and the intervertebral disc herniation were diagnosed in patients with low back pain and spondylolysis using computed tomography completed with MPR and 3D reconstructions. 2. The axial scans completed with multiplanar and three-dimensional reconstructions are very usefull in diagnostic of spondylolysis and spondylolisthesis.
Authors and Affiliations
Witold Krupski, Piotr Majcher, Marcin Tatara
Keywords
Related Articles
- EP ID EP56260
- DOI -
- Views 177
- Downloads 0
Influence of various laser therapy methods on knee joint pain and function in patients with knee osteoarthritis
SummaryBackground: The aim of the study was to estimate the influence of various laser therapy methods on knee joint pain and function in patients with knee osteoarthritis.Material and Methods: 125 patients were randomly...
Segmental Schwannomatosis of the Spine: Report of a Rare Case and Brief Review of Literature
To report a case of segmental schwannomatosis involving the dorsal and lumbar spine and describe its excision as well as review of literature on schwannomatosis involving the spine.Summary of background data: Schwannomas...
Contractures of the lower extremities in spinal muscular atrophy type II. Descriptive clinical study with retrospective data collection
Introduction: Early development of contractures and progressive scoliosis with pelvic obliquity are the most significant orthopaedic problems for children with the intermediate form of spinal muscular atrophy, SMA type I...
Computed tomography-based study of age- and sex-related variation in morphology of the femur
Abstract Background: The femur has a complex shape with marked individual differences. The aim of our study was to investigate the anatomy of the femur in normal subjects using computed tomography imaging with the aim of...
The Modern Rehabilitation Medicine Enigma: Treating People with Disabilities, but Sometimes without a Clear Diagnosis
Background. The process of a comprehensive rehabilitation of the disabled person may be more complicated when the diagnosis becomes vague and uncertain. Unknown data about the patient’s past, mental, physical or vocation...