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Osteoarthritis of the vertebral column, also known as spinal osteoarthritis, is so common that it is widely known as spinal degenerative change This article helps to explain the basics of ct of the lumbar spine to allow the clinician better use of this diagnostic tool. Complications such as spinal stenosis are important to recognize.

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Common studies used to aid in the diagnosis of patients with axial back pain include lumbar radiographs, computed tomography (ct) scan, magnetic resonance imaging (mri), and provocative discography Computed tomography (ct) of the spine has remained an important tool in the investigation of spinal pathology These studies should be used in conjunction with the patient history and physical examination.

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A study correlating anatomic and ct findings in bulging discs has shown that although ct scans accurately demonstrate the disc margins they underestimate the severity of degenerative changes within the nucleus and annulus.

This review of the application of ct scanning to the examination of the lumbar spine describes various scanning techniques, as well as diagnostic manifestations in various degenerative conditions. Degeneration of the intervertebral discs of the spine is a very common phenomenon in adults which may or may not be symptomatic The lumbar and cervical spine are most commonly affected. We included clinical papers describing classifications of lumbar degenerative diseases based on radiographic, ct, and/or mri evaluation

Preference was given to those with reliability assessments.