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Lumbar Intervertebral Disc and Discovertebral Segment. Part 2: An Imaging Review of Pathologic Conditions With
Daphne J Theodorou1, Stavroula J Theodorou2, Ioannis D Gelalis3
1Radiology, MRI-CT Unit, General Hospital of Ioannina, Greece, Ioannina, GRC.
Cureus
|July 11, 2022
Summary
This review details diverse lumbar intervertebral disc pathologies, including degeneration, trauma, infection, inflammation, metabolic disease, and tumors. Understanding these abnormalities aids radiologists in diagnosing discovertebral segment conditions.
Area of Science:
- Spinal Imaging
- Radiology
- Pathology
Background:
- The lumbar intervertebral disc is a complex structure susceptible to various pathologies.
- Conditions include degenerative changes, trauma, infections, inflammation, metabolic diseases, and tumors.
- Atypical presentations can mimic asymptomatic degenerative changes, complicating diagnosis.
Purpose of the Study:
- To review and illustrate a spectrum of abnormalities affecting the discovertebral segment.
- To provide detailed analysis using postmortem material with anatomic-imaging correlation.
- To enhance radiologists' ability to diagnose diverse conditions of the intervertebral disc.
Main Methods:
- Review of a range of abnormalities affecting the discovertebral segment.
- Detailed analysis of postmortem specimens.
- Correlation of imaging findings with anatomic features.
Main Results:
- Pathologic processes affecting the lumbar intervertebral disc are diverse.
- Abnormalities can present atypically, mimicking other conditions.
- The discovertebral segment encompasses a wide array of potential diseases.
Conclusions:
- Comprehensive knowledge of intervertebral disc and discovertebral segment abnormalities is crucial.
- Anatomic-imaging correlation aids in differential diagnosis.
- Radiologists can improve diagnostic accuracy for a broad spectrum of diseases.

