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  • Title: [The value of CT in the pre-operative diagnosis of disc prolapse (author's transl)].
    Author: Müller HA, Sachsenheimer W, van Kaick G.
    Journal: Rofo; 1981 Nov; 135(5):535-40. PubMed ID: 6213468.
    Abstract:
    A disc prolapse can be directly visualised by CT. Forty patients with a clinical diagnosis of disc prolapse were examined pre-operatively. The following criteria were noted: 1. Level, 2. lateralisation, 3. medial or lateral position, 4. differentiation between protrusion and sequestration, 5 displacement of the sequestrum. In 38 patients surgery was performed. Criteria 1 to 3 had been correctly diagnosed in 35 and 34 resp. and Ct proved equally reliable in respect of criteria 4 and 5. It is concluded that the combination of clinical examination and CT provides adequate diagnostic information before surgery. Myelography should be used only where there is still doubt.
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