Osteochondrosis of the spine. Diagnostics
How is osteochondrosis diagnosed?
The basic diagnostic process consists of:
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Taking the patient's medical history
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Physical examination
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Neurological examination
X-rays
Stage of instability (pseudospondylolisthesis at L4/5)
X-rays of the segments of the spine are always performed in 2 planes when the patient is standing, with functional images also possibly taken from the side.
Magnetic resonance imaging (MRI), computed tomography (CT)
The MRI is preferable over CT. Tomography (imaging in 'slices') makes it possible to evaluate spinal canal, nerves, bones, musculature, ligaments and oedema in the spine, as well as spinal canal stenosis and instability.
Myelography
This contrast medium study of the spinal segment is advisable if functional narrowing of the spinal canal is suspected. Neurological investigation including nerve conduction velocities (NCV) and electromyography (EMG) is advisable.
Professional care
Prof. Dr. med. univ.
Cornelius Wimmer