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[Magnetic resonance-diskography correlation for the therapeutic approach of lumbar herniated disk]
C Bartolozzi1, A Bartolozzi, M Olmastroni
1Dipartimento di Fisiopatologia Clinica, Unità di Radiodiagnostica, Università, Firenze.
Abstract:
In order to evaluate MR reliability in the therapeutic approach to lumbar disk herniation, 51 patients were examined. MR images revealed disk herniation with integrity of posterior longitudinal ligament in 25 subjects. These patients were then examined with diskography, that confirmed MR diagnosis in 23/25 cases. Percutaneous diskectomy according to Onik was successfully performed in 23/25 patients. MR imaging appears as a non-invasive method which allows exhaustive analysis of all components of lumbar spine, yielding reliable information for choosing the appropriate treatment.
Insights
Magnetic resonance (MR) imaging is a reliable tool for diagnosing lumbar disk herniation and guiding treatment. This non-invasive method accurately assesses spinal components, aiding therapeutic decisions for patients.
Area of Science:
- Orthopedics
- Radiology
- Neurosurgery
Background:
- Lumbar disk herniation is a common condition requiring accurate diagnosis for effective treatment.
- Evaluating the reliability of diagnostic imaging is crucial for therapeutic decision-making.
Purpose of the Study:
- To assess the reliability of magnetic resonance (MR) imaging in the therapeutic approach to lumbar disk herniation.
- To determine the diagnostic accuracy of MR imaging compared to diskography.
Main Methods:
- MR imaging was performed on 51 patients with suspected lumbar disk herniation.
- Diskography was used as a confirmatory diagnostic tool for patients with MR-identified herniation and intact posterior longitudinal ligament.
- Percutaneous diskectomy (Onik procedure) was performed on selected patients.
Main Results:
- MR imaging revealed disk herniation with an intact posterior longitudinal ligament in 25 patients.
- Diskography confirmed the MR diagnosis in 23 out of 25 cases (92% concordance).
- Successful percutaneous diskectomy was performed in 23 out of 25 patients.
Conclusions:
- MR imaging is a reliable, non-invasive method for diagnosing lumbar disk herniation.
- MR imaging provides comprehensive analysis of lumbar spine components, essential for treatment planning.
- The findings support the use of MR imaging in guiding therapeutic interventions for lumbar disk herniation.