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The Journal of Bone and Joint Surgery (American) 78:114-24 (1996)
© 1996 The Journal of Bone and Joint Surgery, Inc.

Current Concepts Review

Current Concepts Review - The Use of Radiographic Imaging Studies in the Evaluation of Patients Who Have Degenerative Disorders of the Lumbar Spine*

SCOTT D. BODEN, M.D.{dagger}ATLANTA, GEORGIA

*No benefits in any form have been received or will be received from a commercial party related directly or indirectly to the subject of this article. No funds were received in support of this study.

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   Introduction
 
The previous two decades have resulted in substantial technological advancements in neuroradiological imaging. New non-invasive imaging modalities have been developed and existing modalities have been refined, rendering exploratory operations on the spine obsolete. The ubiquitous availability of modalities for improved anatomical visualization of the spine, however, may lead to overutilization and inappropriate application in an area such as lumbar degenerative disorders, which may affect 60 to 80 per cent of the population.

Errors in clinical decision-making after radiographic investigation of the lumbar spine may arise in one of three general areas: (1) the timing of the application of the study during the patient's clinical course, (2) the matching of the clinical indications to the choice of the optimum imaging study, and (3) the precise correlation of the abnormalities seen on imaging with the clinical symptoms. The goals of this article are to review the general principles of imaging of the . . . [Full Text of this Article]


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