Lumbar Spinal Imaging in Radicular Pain and Related Conditions

di Wilmink • 2009 • dettagli prodotto

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DESCRIZIONE

Lumbosacral nerve root compression as the primary cause of sciatica and neurogenic claudication is an etiologic concept on which general consensus exists, although humoral factors do appear to play a role. This book focuses on imaging the various ways in which nerve root compression can come about, and determining which anatomic features are reliably associated with production of radicular pain, as opposed to probably incidental morphologic findings. After a discussion of the nature of radicular pain and associated symptoms, spinal imaging techniques and options are reviewed, with emphasis on the role of MR myelography in assessing the condition of the intradural nerve root. A chapter on normal topographic, sectional, and functional radiologic anatomy is followed by presentations on pathologic anatomy, focusing on mechanisms of nerve root compression, and on postoperative imaging. Features of relevance for predicting natural history are discussed, and a section is devoted to the performance and reporting of a spinal imaging study. A CD-ROM is included containing case studies from the author's teaching file, referenced to the main text.