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Inicio Radiología (English Edition) Plain-film radiography in the study of spinal pain
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Vol. 52. Issue 2.
Pages 126-137 (January 2010)
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Vol. 52. Issue 2.
Pages 126-137 (January 2010)
Plain-film radiography in the study of spinal pain
La radiografía simple en el estudio del dolor de la columna vertebral
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1242
F. Ruiz Santiago
Corresponding author
, L. Guzmán Álvarez, M. Tello Moreno, P.J. Navarrete González
Radiology Department, Traumatology Hospital, Ciudad Sanitaria Virgen de las Nieves, Granada, Spain
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Abstract

The introduction of tomographic imaging techniques, fundamentally computed tomography and magnetic resonance imaging, has led to a gradual decrease in the indications for plain-film radiography, resulting in fewer patients studied and fewer projections for each patient. Consequently, plain-film studies of the spine have received less attention and radiologists are less familiar with the typical findings in normal and pathologic conditions of the spine.

Nevertheless, plain-film radiography continues to be widely used in both primary and specialized care. Thus, radiologists still need to be aware of the normal radiologic anatomy of the spine and of the radiologic manifestations of the diverse pathological processes that can affect the spine and that can cause pain.

The aim of this article is to review the manifestations on plain-film radiography of a wide variety of diseases that can cause back pain, including congenital, traumatic, degenerative, tumor-related, inflammatory, and infectious diseases and processes.

Keywords:
Spine
Plain-film radiography
Back pain
Spinal diseases
Spinal curvature
Spinal osteophytes
Resumen

La introducción de las técnicas de imagen tomográficas, fundamentalmente la tomografía computarizada (TC) y resonancia magnética (RM), ha conllevado una paulatina disminución en las indicaciones de la radiología simple, tanto en el número de pacientes como en la cantidad de proyecciones por paciente. Esto ha podido conllevar una menor atención al estudio y conocimiento de la radiografía simple de la columna vertebral en condiciones normales y patológicas.

Sin embargo, la radiografía simple aún sigue siendo ampliamente utilizada en atención primaria y especializada. Por tanto, se mantiene vigente el conocimiento de la anatomía radiológica normal y de las manifestaciones radiológicas de los distintos procesos patológicos que afectan a la columna vertebral y que pueden ser responsables del dolor vertebral.

El objetivo de este trabajo es realizar una revisión general de las manifestaciones en la radiografía simple del amplio espectro de patologías que pueden ser responsables del dolor generado en la columna vertebral. Este espectro abarca la patología congénita, traumática, degenerativa, tumoral, inflamatoria e infecciosa.

Palabras clave:
Columna
Radiografía simple
Dolor de espalda
Enfermedades de la columna
Curvatura espinal
Osteofitos espinales

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