#spinexray #xrayinterpretation #xrayreview [ Ссылка ]
This is something that is never taught to medical students or residents: how to read MRI’s, X-rays and CT scans. You absorb this information by looking at the films every day, but no one has broken it down to “this is what you find, this is why it occurs, and this is what can cause this injury.”
X-rays are the poor man’s MRI. There are a lot of doctors that do evaluations of patients and go straight to the MRI and that is a HUGE MISTAKE! The reason is because you do not know what is going on with gravity. If someone is getting an MRI, you are laying down; gravity pulls everything back into alignment. When you get to the point that you start to look at MRIs and then you look at X-rays, they are different. There is a shift, an angulation, a collapse. You ONLY see that with X-rays. You do not see that with MRIs.
What is black on an MRI? Bone, tendon, ligament. All those three things are black on an MRI. If you have an x-ray, it is like a CT scan in some respects even though you don’t see specific images, you can see with the bone equality in what’s happening. If you learn to put these together, it is important as a spine surgeon, and ultimately, for the patient.
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With more than 30 years of experience, Donald Corenman, MD, DC, is a highly-regarded spine surgeon, considered an expert in the area of neck and back pain. His training as a Doctor of Chiropractic early in his career did not satisfy his desire for a deep understanding of the mechanics of the spine. This led him to medical school where he completed his Doctor of Medicine, Orthopedic Surgery Residency and Spine Surgery Fellowship. His study of spinal disorders and deformities brought him to Vail, Colorado where he joined The Steadman Clinic in 1994. With personalized clinical care a cornerstone of Dr. Corenman’s practice, he has been awarded the “Top 10 Doctor Award”, “Patient’s Choice Award”, “Compassionate Doctor Recognition” and is consistently recognized by Becker’s Spine Review in “Top Spine Surgeons to Know.”
Dr. Corenman has published two books: for patients, “Everything You Wanted to Know About the Back: A Consumers Guide to the Diagnosis and Treatment of Lower Back Pain” and for the medical community, “The Clinician’s Guidebook to Lumbar Spine Disorders: Diagnosis & Treatment”. He is passionate about educating patients on spine anatomy and disorders, so they have the ability to partner with their physicians in finding the most effective treatment for their back pain and disorders. His focus on peer education earned academic appointments as Clinical Assistant Professor and Assistant Professor of Orthopaedic Surgery at the University of Colorado Health Sciences Center, and his research on spine surgery and rehabilitation has resulted in the publication of multiple peer-reviewed articles.
