Myelography: Diagnostic Pathology Test for Spinal Cord Imaging

Myelography is a diagnostic imaging test that involves the use of contrast dye to visualize the spinal cord and nerve roots in detail.

It is commonly used to diagnose a variety of spinal conditions, such as disc herniation, nerve compression, spinal stenosis, and spinal cord injuries.

During a myelography procedure, the contrast dye is injected into the spinal canal through a lumbar puncture. X-ray images are then taken as the dye spreads through the spinal cord and nerve roots, highlighting any abnormalities or blockages.

Myelography is often recommended when other imaging tests, such as MRI or CT scans, have not provided clear results. It can help identify specific areas of concern and provide detailed information for treatment planning.

Examples of conditions that may require myelography include suspected nerve compression due to a herniated disc, spinal stenosis causing narrowing of the spinal canal, or trauma resulting in spinal cord injury.

By visualizing the spinal structures in detail, myelography can help healthcare providers make accurate diagnoses and develop appropriate treatment plans.

What is the Purpose of Performing a Myelography Test?

The primary purpose of performing a myelography test is to diagnose spinal cord injuries, nerve compression, and other spinal conditions that may be causing back pain or other symptoms.

By providing detailed images of the spinal structures, myelography helps healthcare providers pinpoint the cause of a patient's symptoms and determine the most effective treatment approach.

Myelography is particularly useful in cases where other imaging tests, such as MRI or CT scans, have not provided conclusive results.

It can help identify subtle abnormalities that may be missed by other imaging modalities, allowing for more accurate diagnoses and treatment planning.

In cases of disc herniation, myelography can help visualize the extent of the herniation and determine if it is causing nerve compression.

This information is crucial for deciding whether surgical intervention is necessary to alleviate symptoms and prevent further damage to the spinal cord.

Additionally, myelography can be used to evaluate the effectiveness of previous spinal surgeries or interventions. By comparing images before and after treatment, healthcare providers can assess the success of the procedure and make informed decisions about further treatment options.

What are the Costs of Myelography Tests in India?

The cost of a myelography test in India can vary depending on several factors, including the healthcare facility, location, and the specific details of the procedure. On average, the cost of a myelography test in India ranges from Rs.

5,000 to Rs. 15,000.

Factors that can influence the cost of a myelography test include the type of contrast dye used, the expertise of the healthcare provider performing the procedure, and any additional imaging or consultation fees.

Patients should inquire about the total cost of the test upfront and check with their insurance provider for coverage options.

It is important to note that the cost of a myelography test in India may be lower compared to other countries, making it a more affordable option for patients seeking diagnostic imaging for spinal conditions.

However, it is essential to consider the overall quality of care and expertise of the healthcare providers when choosing a facility for the procedure.

What is the Normal Range and All Values of Myelography?

The normal range for myelography refers to the expected appearance of the spinal cord and nerve roots when viewed under contrast imaging.

In a healthy individual, the spinal structures should appear clear and well-defined, without any signs of compression or blockage.

Abnormal values on a myelography test may indicate various spinal conditions, such as disc herniation, nerve compression, or spinal stenosis.

By comparing the patient's images to the normal range, healthcare providers can identify areas of concern and develop appropriate treatment plans.

The table below shows the normal range and all values of myelography, along with their meanings and potential implications:

Myelography Value

Meaning

Implications

Clear and well-defined spinal structures

Normal

No signs of compression or blockage

Narrowing of the spinal canal

Abnormal

Possible spinal stenosis

Displacement of nerve roots

Abnormal

Potential nerve compression

Blockage in spinal fluid flow

Abnormal

Suspected disc herniation

Frequently Asked Questions

What is myelography used to diagnose?

Myelography is used to diagnose problems with the spinal cord or nerve roots, such as herniated discs, tumors, or spinal stenosis.

What Do High Myelography Levels Indicate?

High myelography levels may indicate significant compression or blockage of the spinal cord or nerve roots, leading to symptoms such as back pain, numbness, or weakness.

What Do Low Myelography Levels Indicate?

Low myelography levels may indicate a lack of contrast dye spreading through the spinal cord and nerve roots, potentially due to blockage or leakage at the injection site.

How is myelography performed?

Myelography is performed by injecting contrast dye into the spinal canal through a lumbar puncture, followed by X-ray or CT scans to visualize the spinal cord and nerves.

What are the risks of myelography?

The risks of myelography may include headache, infection, nerve injury, or allergic reactions to the contrast dye used during the procedure.

How does myelography help in diagnosing spinal cord injuries?

Myelography involves injecting a contrast dye into the space around the spinal cord, which helps to highlight any abnormalities or injuries in the spinal cord and surrounding structures on X-ray images.

What conditions can be diagnosed with myelography?

Myelography can help diagnose conditions like spinal stenosis, herniated discs, spinal cord tumors, and nerve compression in the spine.

Can myelography detect nerve compression?

Yes, myelography can help detect nerve compression by showing the spinal cord and nerve roots on X-ray images after a contrast dye is injected into the space around the spinal cord.

What is the difference between myelography and MRI?

Myelography involves injecting contrast dye into the spinal canal for X-ray imaging, while MRI uses a magnetic field and radio waves to create detailed images of the spine without the need for contrast dye or radiation.

How long does a myelography procedure take?

A myelography procedure typically takes about 30 to 60 minutes to complete.

Are there any post-procedure precautions for myelography?

After a myelography procedure, it's important to stay well-hydrated to help flush out the contrast dye used during the procedure. You should also avoid strenuous activities for a day or two to prevent any complications.

Is myelography still commonly used in spinal diagnostics?

Myelography is used less frequently now due to the availability of more advanced imaging techniques like MRI and CT scans, which are safer and provide clearer images of the spine.