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2004, Número 2

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Anales de Radiología México 2004; 3 (2)


Discografía lumbar, controversia y actualidad

Cabrera ZG, Alcántara PRA, Ramírez BAC, Pérez RJA

Idioma: Español
Referencias bibliográficas: 29
Paginas: 95-105
Archivo PDF: 573.18 Kb.


RESUMEN

El manejo exitoso del dolor lumbar requiere de una precisa localización anatómica de su origen. La discografía lumbar seguida de una TC, resulta valiosa para determinar la importancia de anormalidades discales dudosas o en múltiples niveles, determinando el tipo de herniación y definiendo las opciones quirúrgicas en la evaluación de columnas previamente operadas. En un 89-94% de pacientes, la discografía CT pronostica correctamente el tipo de herniación como protrusión, extrusión, secuestro o disrupción interna. El dato cardinal es la estimulación discal donde el dolor provocado determina si el disco es el origen del dolor. El diagnóstico y las aplicaciones de la discografía lumbar siempre serán controversiales y esta posición no ha cambiado aún con el advenimiento de la ttomografía Computada y la Resonancia Magnética. Esta técnica ha sido utilizada para el estudio de la degeneración discal lumbar y ha proporcionado información no obtenida por otros medios.


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