Advertisement

Computed tomography application to lumbar epidurography

      This paper is only available as a PDF. To read, Please Download here.

      Abstract

      The application of current-generation computed tomography scanning to lumbar epidurography has resulted in a better appreciation of epidural anatomy and improved ease of interpretation of non-ionic contrast material within the epidural space. The development of extended window width has greatly improved imaging of the more variable levels of attenuation encountered in contrast material within the epidural space. The procedure of distribution of contrast material by catheter technique via the sacral canal approach is described. The experience obtained on examination of 24 patients is discussed, along with the possible adjunctive and primary roles of this type of imaging in evaluation of the lumbar spine.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Clinical Imaging
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Hawley S.
        • Doub H.
        Epidurography: a method of roentgenologic visualization of protruded intervertebral disks.
        Radiology. 1941; 36: 712-716
        • Lewit K.
        • Sereghy T.
        Lumbar peridurography with special regard to the anatomy of the lumbar peridural space.
        Neuroradiology. 1975; 8: 233-240
        • Lewit K.
        The contribution of peridurography to the anatomy of the lumbosacral spinal canal.
        Folia Morphol (Praha). 1976; 24: 289-295
        • Luyendijk W.
        Roentgerological examination of the peridural space in lumbo-sacral part of the vertebral canal (canalography).
        Radiologie. 1963; 46: 235-254
        • Luyendijk W.
        • von Vorrthuisen A.E.
        Contrast examination of the spinal epidural space.
        Acta Radiol. 1966; 5: 1051-1066
        • Luyendijk W.
        The plica mediana dorsalis of the dura mater and its relation to lumbar peridurography (canalography).
        Neuroradiology. 1976; 11: 147-149
        • Kido D.
        • Schoene W.
        • Baker R.
        • Rumbaugh C.
        Metrizamide epidurography in dogs.
        Radiology. 1978; 128: 119-122
        • McCormick C.C.
        Radiology in low back pain and sciatica. An analysis of the relative efficacy of spinal venography, discography and epidurography in patients with a negative or equivocal myelogram.
        Clin Radiol. 1978; 29: 393-406
        • Roberson G.H.
        • Hatten Jr, H.P.
        • Hesselink J.R.
        Epidurography: selective catheter technique and review of fifty-three cases.
        AJR. 1979; 132: 787-793
        • Haughton V.
        • Syvertsen A.
        • Williams A.
        Soft-tissue anatomy within the spinal canal as seen on computer tomography.
        Radiology. 1980; 134: 649-655
        • Bromage P.R.
        • Bramwell R.S.B.
        • Catchlove R.F.H.
        • et al.
        Peridurography with metrizamide: animal and human studies.
        Radiology. 1978; 128: 123-126
        • Hatten Jr, H.P.
        Metrizamide lumbar epidurography with Seldinger technique through the sacral notch and selective nerve root injection.
        Neuroradiology. 1980; 19: 19-25
        • Hatten Jr, H.P.
        Lumbar epidurography with metrizamide.
        Radiology. 1980; 137: 129-136
        • Emery I.
        • Hamilton G.
        Epidurography using metrizamide an outpatient examination.
        Clin Radiol. 1980; 31: 643-649
        • Johansen J.G.
        • Hauge O.
        Epidurography in lumbar spondylolisthesis.
        Neuroradiology. 1982; 23: 101-106
        • Roosen N.
        • VanVyve M.
        • DeMoor J.
        Intrasacral meningeal cyst demonstrated by sacral epidurography.
        Neuroradiology. 1985; 27: 123-124