A general consensus exists, that lumbosacral nerve root
compression is the primary cause of sciatica and neurogenic
claudication, although humoral and vascular factors certainly play
a role as well. 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 the production of
radicular pain. After a discussion of the nature of radicular pain
and related symptoms, spinal imaging techniques and options are
reviewed, with emphasis on the role of MR myelography in assessing
the intradural nerve roots. A chapter on normal topographic,
sectional, and functional radiologic anatomy is followed by
presentations on pathologic anatomy, addressing mechanisms of nerve
root compression, and on pre- and postoperative imaging. Features
relevant to prediction of the natural history are discussed, and a
section is devoted to the performance and reporting of a spinal
imaging study.
General
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