Saturday 11 July 2015

MCQ FRCR --SPINE

9.All are true regarding intervertebral disc except
a. annular rim and the ossification centers in the vertebrae of newborn  have low signal intensity on T1- and T2-weighted images
b. nucleus and annulus are sharply demarcated in the newborn.
c. during the first two decades of life, the disc develops the fibrous structure that characterizes the adult disc
d. The vertebral body and the ring apophysis at time of  transitional disc is not  ossified completely
e. small concentric and transverse tears are degenerative changes



9.---e

With aging, small concentric and transverse tears develop in the annulus . The former is characterized as delamination of the lamellae in the annulus fibrosus with the development of a mucoid substance or fluid in the space. These tears may be visualized on MR as a narrow band of higher-intensity signal, indicating the location of the mucoid substance or fluid. The latter are short disruptions in the annulus near the insertion of Sharpey fibers.

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