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>Journals >Anales de Radiología, México >Year 2005, Issue 2


Boleaga DB
Lumbalgia
Anales de Radiología México 2005; 4 (2)

Language: Español
References: 12
Page: 89-98
PDF: 209.53 Kb.


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ABSTRACT

Introduction: Lumbago (low back pain) is the clinical manifestation of pain in the lumbar region. Lumbago and lumbo ciatalgia are amongst the most frequent ailments affecting both men and women. During 2000, it was established that approximately 80% of the persons above 30 years old state having suffered from lumbago at least once in their life.
Simple X-Rays: This is a low-cost, effective and easily available means to demonstrate the vertebral and paravertebral pathology. Some radiology and image department already have digital radiology systems, which optimize the data quality, reduce patient radiation, and avoids repeating x-rays due to technical failures.
Myelography: This diagnosis method was originated in 1919 with the description made by Dandy about the pneumo encefalography, suggesting the use of subarachnoid air to diagnose spinal cord tumors. In 1922, Sicard and Forestier, observed that lipoidol moved freely in the subarachnoid space and decided to use it in the location of tumors in the spinal cord. In 1934, Mixter and Barr studied the inter-vertebrae disk hernia syndrome by means of myelography with lipiodol. In 1944, Ramsey and Strain learned that with pentopaque meningeal irritation was less than with lipiodol. Metrizamide, in 1975, set a new milestone in the study of rachimedular pathology.
Computed Tomography (CT): This is one of the most specific methods for patients with lumbago, due to its ability to detect alterations in the density of the structures that make up the spine. It also allows detecting bruises, calcifications and cysts. CT is a complement to a myelography with non-ionic contrast means (Myelo CT).
Magnetic Resonance Image: This is the diagnosis method of choice due to its specificity and sensitivity in detecting morphological alterations and to the intensity of the signal in the lumbosacral region, in assessing the aspects related with the integrity and conditions of the tissue structure of the vertebral segments, intervertebral disks, paravertebral soft tissue, including fat, ligaments and muscles.


Key words: Lumbago, ciatalgia, paravertebral, myelography, lumbo sacra.


REFERENCIAS

  1. Walker BF. The prevalence of low back pain: a systematic review of the literature from 1966 to 1998. J Spinal Disord 2000; 13: 205-17.

  2. Kääriä S, et al. Low back pain, work absenteeism, chronic back disorders, and clinical findings in the low back as predictors of hospitalization due to low back disorders. A 28-year follow-up of industrial employees. Spine 2005; 30: 1211-18.

  3. Boleaga DB, Fiesco GLE. Enfermedad degenerativa de la columna lumbo sacra. Correlación clínica y por Resonancia Magnética. Cirugía y cirujanos. Academia Mexicana de Cirugía. México: 2005, en prensa.

  4. Shapiro R. Myelography. Year book medical publishers, Inc. Chicago: 1962.

  5. Dandy, WC. Diagnosis and localization of spinal cord tumors. Bull. Johns Hopkins Hosp.; 1922; 33: 190.

  6. Sicard JA, Forestier J. Méthode générale d’exploration radiologique par l’huile iodée (lipiodol). Bull et Mem Hôp Paris 1922;46: 463.

  7. Mixter, WJ, Barr, JS. Rupture of the intervertebral disc with involvement of the spinal canal. New England J Med 1934; 211: 210.

  8. Ramsey GHS, Strain WE. Pantopaque: new contrast medium for myelography. Radiol & Clin Photog 1944; 20: 25.

  9. Skalpe WB, Amundsen P. Thoracic and cervical myelography with Metrizamide. Radiology 1975; 116: 101.

  10. Hounsfield GN. Computerized transverse axial scanning (tomography): Part I. Description of system. Br J Radiol 1973; 46: 1016-22.

  11. Boleaga-Durán B, Palacios E, Caillé JM. Enfermedad degenerativa de la columna lumbar. En: Fernández-Tapia S, Boleaga-Durán B, Beltrán J (eds.). Radiología e Imagen Diagnóstica y Terapéutica. Musculoesquelético. Philadelpia: Lippincott Williams & Wilkins; 2000, p. 249-72.

  12. Lauterbur PC. Image formation by induced local interactions: examples employing nuclear magnetic resonance. Nature 1973; 242: 190-1.






>Journals >Anales de Radiología, México >Year 2005, Issue 2
 

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