Diagnostic imaging for spinal disorders in the elderly: a narrative review
<p>Abstract</p> <p>The high prevalence of neck and low back pain in the rapidly aging population is associated with significant increases in health care expenditure. While spinal imaging can be useful to identify less common causes of neck and back pain, overuse and misuse of imagi...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
BMC
2012-05-01
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| Series: | Chiropractic & Manual Therapies |
| Subjects: | |
| Online Access: | http://chiromt.com/content/20/1/16 |
| _version_ | 1811280068562911232 |
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| author | Taylor John AM Bussières André |
| author_facet | Taylor John AM Bussières André |
| author_sort | Taylor John AM |
| collection | DOAJ |
| description | <p>Abstract</p> <p>The high prevalence of neck and low back pain in the rapidly aging population is associated with significant increases in health care expenditure. While spinal imaging can be useful to identify less common causes of neck and back pain, overuse and misuse of imaging services has been widely reported. This narrative review aims to provide primary care providers with an overview of available imaging studies with associated potential benefits, adverse effects, and costs for the evaluation of neck and back pain disorders in the elderly population. While the prevalence of arthritis and degenerative disc disease increase with age, fracture, infection, and tumor remain uncommon. Prevalence of other conditions such as spinal stenosis and abdominal aortic aneurysm (AAA) also increase with age and demand special considerations. Radiography of the lumbar spine is not recommended for the early management of non-specific low back pain in adults under the age of 65. Aside from conventional radiography for suspected fracture or arthritis, magnetic resonance imaging (MRI) and computed tomography (CT) offer better characterization of most musculoskeletal diseases. If available, MRI is usually preferred over CT because it involves less radiation exposure and has better soft-tissue visualization. Use of subspecialty radiologists to interpret diagnostic imaging studies is recommended.</p> |
| first_indexed | 2024-04-13T01:07:47Z |
| format | Article |
| id | doaj.art-8d8f1033d1354e79ac6e158f5b704555 |
| institution | Directory Open Access Journal |
| issn | 2045-709X |
| language | English |
| last_indexed | 2024-04-13T01:07:47Z |
| publishDate | 2012-05-01 |
| publisher | BMC |
| record_format | Article |
| series | Chiropractic & Manual Therapies |
| spelling | doaj.art-8d8f1033d1354e79ac6e158f5b7045552022-12-22T03:09:17ZengBMCChiropractic & Manual Therapies2045-709X2012-05-012011610.1186/2045-709X-20-16Diagnostic imaging for spinal disorders in the elderly: a narrative reviewTaylor John AMBussières André<p>Abstract</p> <p>The high prevalence of neck and low back pain in the rapidly aging population is associated with significant increases in health care expenditure. While spinal imaging can be useful to identify less common causes of neck and back pain, overuse and misuse of imaging services has been widely reported. This narrative review aims to provide primary care providers with an overview of available imaging studies with associated potential benefits, adverse effects, and costs for the evaluation of neck and back pain disorders in the elderly population. While the prevalence of arthritis and degenerative disc disease increase with age, fracture, infection, and tumor remain uncommon. Prevalence of other conditions such as spinal stenosis and abdominal aortic aneurysm (AAA) also increase with age and demand special considerations. Radiography of the lumbar spine is not recommended for the early management of non-specific low back pain in adults under the age of 65. Aside from conventional radiography for suspected fracture or arthritis, magnetic resonance imaging (MRI) and computed tomography (CT) offer better characterization of most musculoskeletal diseases. If available, MRI is usually preferred over CT because it involves less radiation exposure and has better soft-tissue visualization. Use of subspecialty radiologists to interpret diagnostic imaging studies is recommended.</p>http://chiromt.com/content/20/1/16Narrative reviewLow back painNeck painDiagnostic imagingRadiographyComputed tomographyMagnetic resonance imagingAgingGeriatric |
| spellingShingle | Taylor John AM Bussières André Diagnostic imaging for spinal disorders in the elderly: a narrative review Chiropractic & Manual Therapies Narrative review Low back pain Neck pain Diagnostic imaging Radiography Computed tomography Magnetic resonance imaging Aging Geriatric |
| title | Diagnostic imaging for spinal disorders in the elderly: a narrative review |
| title_full | Diagnostic imaging for spinal disorders in the elderly: a narrative review |
| title_fullStr | Diagnostic imaging for spinal disorders in the elderly: a narrative review |
| title_full_unstemmed | Diagnostic imaging for spinal disorders in the elderly: a narrative review |
| title_short | Diagnostic imaging for spinal disorders in the elderly: a narrative review |
| title_sort | diagnostic imaging for spinal disorders in the elderly a narrative review |
| topic | Narrative review Low back pain Neck pain Diagnostic imaging Radiography Computed tomography Magnetic resonance imaging Aging Geriatric |
| url | http://chiromt.com/content/20/1/16 |
| work_keys_str_mv | AT taylorjohnam diagnosticimagingforspinaldisordersintheelderlyanarrativereview AT bussieresandre diagnosticimagingforspinaldisordersintheelderlyanarrativereview |