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Diagnosis of cervical disc disease

MRI versus cervical myelography

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Summary

In a prospective study of 63 surgical patients cervical myelography was compared with MRI to establish the relative value of the 2 diagnostic procedures in patient selection for surgery of ruptured cervical discs and bony nerve root compression. While MRI in the T1-weighted and gradient echo modes matched the diagnostic accuracy of invasive myelography (95%), T1 and T2-weighted MRI images alone were associated with an error rate of 10%. In patients with medial protrusion myelography did not always show the true extent of compression, whereas MRI tended to miss small laterally protruding disc fragments. Cervical myelography continues to have a place in the diagnosis of cervical disc disease, whenever clinical signs and symptoms do not agree with MRI data.

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Authors and Affiliations

  1. Neurosurgical Department, Krankenanstalt Rudolfstiftung, Wien, Austria

    G. Perneczky, F. W. Böck & M. Stiskal

  2. Department for Nuclear Magnet Resonance Tomography, Privatkrankenhaus Rudolfinerhaus, Wien, Austria

    A. Neuhold

Authors
  1. G. Perneczky
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  2. F. W. Böck
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  3. A. Neuhold
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  4. M. Stiskal
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Perneczky, G., Böck, F.W., Neuhold, A. et al. Diagnosis of cervical disc disease. Acta neurochir 116, 44–48 (1992). https://doi.org/10.1007/BF01541252

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