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《Hainan Medical Journal》 2011-24
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CT diagnosis of lumbar intervertebral disk intraosseous herniation and its significance for clinical treatment

ZHOU Gui-lin. Department of Radiology, East China Petroleum Hospital, Yangzhou 225003, Jiangsu, CHINA  
Objective To investigate the computer tomography (CT) characteristics and classification of lumbar intervertebral disk intraosseous herniation (IDIH), and to analyze the relationship between CT characteristics and the selection of treatment. Methods Eight patients with IDIH (4 males and 4 females, 28~74 years old with a mean of 44.2) were enrolled in this study. L3~S1 intervertebral spaces and discs of the patients were scanned by CT. One patient with suspicious lesion were further scanned for inferior plane of intervertebral space Results All the patients were observed with lumbar IDIH by CT, including 6 cases locating at L4-5 and 2 cases locating at L5~S1. All the patients displayed intraosseous defect, of which 6 cases was at the inferior edge of L4 vertebrae and 2 cases at the inferior edge of L5 vertebrae. The defects of 4 cases were round and 4 cases were irregular, which were filled with disc. Meanwhile, separated bony mass (n=4), irregular endplate of (n=4) and wedge-shaped vertebra (n=2) could be observed at the same level. Conclusion CT should be regarded as one of reliable ways for the examination and diagnosis of lumbar IDIH, which play important role in the selection of clinical treatment.
【CateGory Index】: R687.3
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