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Chiropractic & Manual Therapies
Published in: Chiropractic & Manual Therapies 1/2012

Open Access 01-12-2012 | Review

Diagnostic imaging for spinal disorders in the elderly: a narrative review

Authors: John AM Taylor, André Bussières

Published in: Chiropractic & Manual Therapies | Issue 1/2012

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Abstract

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.
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Metadata
Title
Diagnostic imaging for spinal disorders in the elderly: a narrative review
Authors
John AM Taylor
André Bussières
Publication date
01-12-2012
Publisher
BioMed Central
Published in
Chiropractic & Manual Therapies / Issue 1/2012
Electronic ISSN: 2045-709X
DOI
https://doi.org/10.1186/2045-709X-20-16

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