Magnetic resonance imaging of the sacral vertebrae is recognized as the most accurate method for diagnosing various back pain. It gives clear pictures of the bone and cartilage structures and the soft tissues surrounding them, so that the doctor can make the correct diagnosis in the shortest possible time.
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Diagnostic value of MRI
The technology works on the principle of irradiation with electromagnetic waves that cause resonance in tissues, after which the signals are captured and analyzed by a computer system. The study provides clear images of soft tissues, cartilage, blood vessels and nerves, unlike CT, which visualizes bone structures more clearly.
MRI of the sacral spine shows:
- Degenerative processes in the vertebrae and paravertebral tissues.
- Cracks, compression fractures and other consequences of injuries of the spinal column.
- Protrusions and herniated discs.
- Condition of the terminal part of the spinal cord.
- Inflammatory processes - myelitis, osteomyelitis.
- Benign and malignant neoplasms that are primary or metastatic.
- Vessels and nerve roots located in the area under study.
In addition, patients can be prescribed MRI of the sacroiliac joints (SJJ) - this is the only reliable method for confirming the diagnosis of sacroiliitis. The technique shows inflammatory changes, pathological fatty infiltration of the bone marrow, sclerotic processes and ankylosis of the joints.
Indications for examination
MRI of the sacrum and sacral joints is recognized as the main diagnostic method in orthopedics and rheumatology. The study is carried out in the direction of specialist doctors after the initial examination of the patient and the implementation of basic imaging methods (ultrasound, radiography).
Indications for magnetic resonance imaging are the following symptoms:
- Lower pain of varying nature and intensity, which can radiate to the intimate area, buttocks, thigh muscles.
- History of osteochondrosis, intervertebral hernia.
- Injuries to the sacral region.
- Suspicion of degenerative diseases of the nervous system.
- Deterioration of blood flow in the vessels of the legs.
- Disturbances in the sensitivity of the lower extremities and the pelvic area.
- Loss of voluntary control of the bladder and bowels.
- Erectile dysfunction in men, if the typical causes of the pathology have already been excluded.
Clear and detailed MRI imaging of the sacral spinal canal helps the doctor to assess the anatomical features of the area under study. Such diagnostics are prescribed in preparation for the operation in order to plan the tactics of surgical intervention. Also, tomography is used for postoperative monitoring of the effectiveness of treatment.