{"id":4126,"date":"2011-06-22T12:16:00","date_gmt":"2011-06-22T11:16:00","guid":{"rendered":"http:\/\/www.rontgen.com\/wp-doctor\/?p=4126"},"modified":"2011-06-22T13:43:59","modified_gmt":"2011-06-22T12:43:59","slug":"rontgen-av-kotkompression","status":"publish","type":"post","link":"https:\/\/www.rontgen.com\/wp-doctor\/rontgen-av-kotkompression","title":{"rendered":"R\u00f6ntgen av kotkompression"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft\" style=\"border: 0px;\" title=\"Fr\u00e5ga\" src=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2008\/12\/icon_mini_faq.gif\" alt=\"\" width=\"12\" height=\"13\" \/>\u00a0Har en stark misstanke om (ev p\u00e5g\u00e5ende) kotkompression i nedre l\u00e4ndryggen som en f\u00f6ljd av konstaterad osteoporos, men ingenting syntes vid en vanlig r\u00f6ntgenunders\u00f6kning. Beh\u00f6ver man g\u00e5 vidare med andra former av unders\u00f6kningar (DT, MR, annat?) eller m\u00e5ste den tydligt \u00f6kade ryggsm\u00e4rtan och kraftigt begr\u00e4nsade r\u00f6relsef\u00f6rm\u00e5gan sedan tre veckor bero p\u00e5 n\u00e5got annat (och i s\u00e5 fall vad)?<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft\" style=\"border: 0px;\" title=\"Svar\" src=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2008\/12\/icon_mini_register.gif\" alt=\"\" width=\"12\" height=\"13\" \/>\u00a0En <em>kotkompression<\/em> i sig beh\u00f6ver man oftast inte utreda vidare om <em>osteoporos<\/em> redan konstaterats.<br \/>\nEn kotfraktur med kompression pga. osteoporos kan vara liten och d\u00e4rf\u00f6r sv\u00e5r att s\u00e4kert urskilja p\u00e5 r\u00f6ntgen. S\u00e5dana kompressioner behandlas inte heller.<br \/>\nVid diskret kompression tillf\u00f6r inte heller datortomografi (CT\/DT) n\u00e5got j\u00e4mf\u00f6rt med konventionell r\u00f6ntgen. MR-unders\u00f6kning kan visa flera f\u00f6r\u00e4ndringar som kan tala f\u00f6r kotkompressionsfraktur, exv. \u00f6dem (v\u00e4tska i kotkroppen).<br \/>\nD\u00e4rf\u00f6r ser jag (med begr\u00e4nsad information om just detta fall) ingen omedelbar anledning till ytterligare utredning f\u00f6r att p\u00e5visa kotkompression.<br \/>\nOm man d\u00e4remot misst\u00e4nker annan anledning till ryggsm\u00e4rta kommer saken i annat l\u00e4ge.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft\" style=\"border: 0px;\" title=\"Svarat av\" src=\"https:\/\/www.rontgen.com\/wp-doctor\/wp-content\/uploads\/2008\/12\/icon_mini_profile.gif\" alt=\"\" width=\"12\" height=\"13\" \/>\u00a0TLA. \u00f6verl\u00e4kare<br \/>\nR\u00f6ntgenavdelningen Helsingborgs lasarett<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00a0Har en stark misstanke om (ev p\u00e5g\u00e5ende) kotkompression i nedre l\u00e4ndryggen som en [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[6],"tags":[49,24],"class_list":["post-4126","post","type-post","status-publish","format-standard","hentry","category-ct","tag-landrygg","tag-undersokning"],"_links":{"self":[{"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/posts\/4126","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/comments?post=4126"}],"version-history":[{"count":0,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/posts\/4126\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/media?parent=4126"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/categories?post=4126"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.rontgen.com\/wp-doctor\/wp-json\/wp\/v2\/tags?post=4126"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}