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Computed tomography in cervical disc disease when myelography is unsatisfactory
Clinical Radiology
|January 1, 1984
Summary
Water-soluble contrast media are now standard for cervical myelography. When degenerative disease alters the cervical curve, computed tomography (CT) is crucial for diagnosing cervical disc protrusion.
Area of Science:
- Radiology
- Neurosurgery
- Medical Imaging
Background:
- Water-soluble contrast media have superseded Myodil in cervical myelography.
- Degenerative cervical spine disease can significantly alter spinal anatomy.
Observation:
- Altered cervical lordotic curves (decreased, straightened, or reversed) impede adequate contrast pooling.
- This anatomical variation presents diagnostic challenges in cervical myelography.
Findings:
- Third-generation computed tomography (CT) is highly effective in evaluating the cervical spine.
- CT accurately confirms or excludes cervical disc protrusion in challenging cases.
Implications:
- CT provides essential diagnostic information when conventional myelography is limited.
- This imaging modality improves diagnostic confidence for cervical disc herniation in degenerative conditions.