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  • Title: [Pathomechanisms of spinal canal stenosis - upright MRI image gallery].
    Author: Niggemann P, Grosskurth D, Beyer HK.
    Journal: Z Orthop Unfall; 2009; 147(2):205-9. PubMed ID: 19358076.
    Abstract:
    AIM: Lumbar spinal canal stenosis is a common disease of the elderly patient, with a high prevalence and clinical importance. MRI is the established method of choice for the imaging of spinal canal stenosis. However, there is often a discrepancy between the clinical symptoms and the spinal canal stenosis as shown using MRI in a supine position. In such cases preoperative functional imaging is often warranted. METHODS: In an image gallery three cases of a functional spinal canal stenosis of the lumbar spine are shown. In all three patients a dynamic, positional MRI (upright MRI) was performed. RESULTS: The pathomechanisms of the spinal canal stenosis could be shown in all three cases. CONCLUSION: Using upright MRI a functional spinal canal stenosis can be shown. The pathomechanisms of the spinal canal stenosis are discussed. The possibilities and limitations of this new imaging modality are presented and analysed.
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