Abstract
An: 2013, Nr.2, Articol Nr. 14
Title: 

FINE MORPHOLOGIC AND TOPOGRAPHIC MRI 3D EVALUATION OF CERVICAL SPINE ANATOMY TOGHETHER WITH DIAGNOSTIC ASSESSMENT OF DEGENERATIVE CHANGES

Authors: 

      H. Prundeanu, A. Băcean, G. Stancu, V. Epure - University of Medicine and Pharmacy “Victor Babeş” Timişoara, Department of Anatomy and Embriology
      J.M. Pătraşcu - University of Medicine and Pharmacy “Victor Babeş” Timişoara, Discipline II of Orthopedy and Traumatology
      S. Brad - Department of General and Oral Radiology, Clinical Image, Medical Imaging Center Timişoara
      FINE MORPHOLOGIC AND TOPOGRAPHIC MRI 3D EVALUATION OF CERVICAL SPINE ANATOMY TOGHETHER WITH DIAGNOSTIC ASSESSMENT OF DEGENERATIVE CHANGES (Abstract): The paperwork points out the importance of MRI exam in morphologic and topographic anatomic characterization of cervical spine with a special value in fine evaluation of cervical intervertebral disc and adjacent anatomic structures degenerative changes. We retrospectively reviewed the cervical spine MRI scans of 573 patients examined at Clinical Image Medical Imaging Center Timi?oara using an Essenza 1.5 T MRI unit. The MRI exams allowed the evaluation of the integrity of the cervical intervertebral disc in all 573 cases and revealed the presence of degenerative changes in 551 cases with 391 narrowed discs, 437 cases of diffuse disc bulging and 114 cases of disc herniations. Also, a special interest was to detect the subtle local pathology of the adjacent anatomic structures. We evaluated the changes involving the vertebral body marrow adjacent to the end plates and we found bright spots of fatty degeneration in 164 cases. The facet joints disease, posterior vertebral body and uncinate process osteophytes together with ligamentum flavum and posterior longitudinal ligament hypertrophy were assessed in 242 cases. Due to specific high capabilities in fine anatomic and structural characterization of soft tissues, MRI exam represents the elected method in current practice for 3D morphologic and topographic anatomic characterization of cervical spine together with fine evaluation of the regional intervertebral disc and special abilities in detection and characterization of the adjacent anatomic structures degenerative changes.
Key words: CERVICAL SPINE, CERVICAL INTERVERTEBRAL DISC DEGENERATION, MRI
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