Imaging is crucial for evaluating degenerative disorders of the spine, helping to identify the source of pain, excluding sinister pathology such as neoplasm, infection, and fractures and guide treatment decisions. While imaging findings may assist in explaining clinical symptoms, it is important to recognize that many imaging-based degenerative features can be common in asymptomatic individuals and should be interpreted in conjunction with clinical presentation. Radiography is often the initial imaging modality to identify gross abnormalities. However, magnetic resonance imaging (MRI) is the primary imaging modality for diagnosing degenerative disease, providing detailed visualization of the intervertebral discs, endplates, bone marrow, facet joints, and other structures involved in degeneration. CT is an adjunct modality, particularly useful for bone-related pathology.

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Degenerative Disorders of the Spine

  • John A. Carrino

摘要

Imaging is crucial for evaluating degenerative disorders of the spine, helping to identify the source of pain, excluding sinister pathology such as neoplasm, infection, and fractures and guide treatment decisions. While imaging findings may assist in explaining clinical symptoms, it is important to recognize that many imaging-based degenerative features can be common in asymptomatic individuals and should be interpreted in conjunction with clinical presentation. Radiography is often the initial imaging modality to identify gross abnormalities. However, magnetic resonance imaging (MRI) is the primary imaging modality for diagnosing degenerative disease, providing detailed visualization of the intervertebral discs, endplates, bone marrow, facet joints, and other structures involved in degeneration. CT is an adjunct modality, particularly useful for bone-related pathology.