The Pathomorphologic Study of Spinal Stenosis as Seen on CT - Myelography of the Lumbar.
- Author:
Woo Seog LEE
;
Byung Gyu AHN
;
Sun Kil CHOI
;
Seung Koo KANG
- Publication Type:Original Article
- Keywords:
Spinal stenosis;
CT-myelography;
Bony canal;
Dural sac
- MeSH:
Constriction, Pathologic;
Humans;
Myelography*;
Spinal Stenosis*
- From:Journal of Korean Neurosurgical Society
1987;16(2):439-446
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
This study has been examined different morphologic measurements in the evaluation of patients with lumbar spinal stenosis. Preoperative CT-Myelography from 30 patients who underwent surgery for central lumbar stenosis were analyzed. Based on this, we concluded as follows : 1) Bony measurement alone did not reliably identify patients with spinal stenosis. 2) Measurement of the transverse area of the dural sac on CT-Myelography was the most accurate method for identifying stenosis. 3) Lumbar myelography was still considered to have an important role in the valuation of a patient with stenosis because of correlation between the cross-sectional area of the dural sac and the anteroposterior diameter of the dural sac was excellent. 4) We identified soft-tissue problems as the main cause of stenosis. 5) The most common level of maximum stenosis was L4-5.
