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Diagnostic (cont.)
MRI:
- Abnormal if disc herniation or acute ligamentous injury
- Cervical HNP seen in 10 % of asymptomatic persons under 40 years and 5 % of those over 40 years (Boden, et al JBJS: 1990)
- Degenerative disc changes present in 25 % of asymptomatic adults under 40 years, 60 % of those over 40 years and 70 % over 70 years
CT with/without myelogram
- Best for bony changes, spinal or foraminal stenosis
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