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    Module

    MRI Lumbar Spine

    The basic principles of the MRI scan of the lumbar spine.

    MRI Lumbar Spine
    Radiology Expert
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     Normal Anatomy


    The lumbar spine serves three main functions:

    1. Support of the upper body; absorbing axial forces originating from the head/neck/torso (this also explains why the lumbar vertebrae are larger than the cervical and thoracic vertebrae).
    2. Mobility: allowing flexion/extension, rotation, and lateral bending.
    3. Formation and protection of the spinal canal and associated exiting spinal nerves.

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    Literature: sources and author

    Text

    drs. A. van der Plas (MSK radiologist Maastricht UMC+)

    With special thanks to:
    dr. W. Henneman (neuroradiologist Maastricht UMC+)

    Illustrations

    drs. A. van der Plas (MSK radiologist Maastricht UMC+)


    Sources:

    • C. Lavy, P. Marks, K. Dangas, N. Todd; Cauda equina syndrome—a practical guide to definition and classification. International Orthopaedics (2022)

    • L. Bulloch, K. Thompson, L. Spector; Cauda Equina Syndrome. Orthop Clin North Am. (2022)

    • C. Colosimo et al; Contrast-enhanced MR imaging of the spine: When, why and how? How to optimize contrast protocols in MR imaging of the spine. Neuroradiology (2006)

    • M. Farshad et al; Spondylophyte classification based on biomechanical effects on segmental stiffness. Spine J (2022)
      T.S. Jensen et al.; Vertebral endplate signal changes (Modic change): a systematic literature review of prevalence and association with non-specific low back pain. Eur Spine J. (2008)

    • A. Pietrok; Schmorl’s Node: An Uncommon Case of Back Pain and Radiculopathy. Orthop Rev (Pavia). 2022

    • A.C Gellhorn, J.N Katz, P. Suri; Osteoarthritis of the spine: the facet joints. Nat Rev Rheumatol (2013)

    • D.F. Fardon et al; Lumbar disc nomenclature: version 2.0: Recommendations of the combined task forces of the North American Spine Society, the American Society of Spine Radiology and the American Society of Neuroradiology. Spine J (2014)

    • S. Boudabbous et al; Spinal disorders mimicking infection. Insights into Imaging (2021)

    • J. Lotz; The Role of the Vertebral End Plate in Low Back Pain. Global Spine Journal (2013)

    • J.S. Kim et.al; Clinical Significance of Redundant Nerve Roots of the Cauda Equina in Spine MRI. iMRI (2022)

    • L. Cottle, T. Riordan; Infectious spondylodiscitis. J Infec (2008) 

    • H.P. Ledermann et.al; MR imaging findings in spinal infections: rules or myths? Radiology (2003)

       

    08/10/2023

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