Post Surgical Spinal Evaluation

J. Randy Jinkins1, David D. Stark1

1 Downstate Medical Center, State University of New York, Brooklyn, New York
Publication Name:  Current Protocols in Magnetic Resonance Imaging
Unit Number:  Unit A8.8
DOI:  10.1002/0471142719.mia0808s08
Online Posting Date:  May, 2003
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Abstract

One of the most challenging areas of diagnosis is to be found in acquiring and interpreting medical images in the patient who has undergone lumbosacral surgery for spinal degenerative disease. The section illustrates the features of expected and abnormal postsurgical spinal imaging. These discussions provide the background, practical information, and graphic examples necessary to enable the medical imaging physician to better approach the clinicoradiologic evaluation of the postsurgical patient.

     
 
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Table of Contents

  • Basic Protocol 1: Conventional and Fast Spin Echo Acquisitions
  • Alternate Protocol 1: Coronal Contrast Enhances Acquisition
  • Commentary
  • Literature Cited
  • Figures
  • Tables
     
 
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Materials

Basic Protocol 1: Conventional and Fast Spin Echo Acquisitions

  Materials
  • Normal saline (0.9% NaCl) sterile
  • Extravascular contrast agent (e.g., Mangevist, Omniscan, or Prohance)
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Figures

Videos

Literature Cited

Literature Cited
   Ghazi, J., Golimbu, C.N., and Engler, G.L. 1992. MRI of spinal fusion pseudoarthrosis. J. Comput. Assist. Tomogr. 16:324‐326.
   Grane, P., Josephsson, A., Seferlis, A., and Tullberg, T. 1998. Septic and aseptic post‐operative discitis in the lumbar spine—evaluation by MR imaging. Acta Radiol. 39:108‐115.
   Jinkins, J.R. 1993. Magnetic resonance imaging of benign nerve root enhancement in the unoperated and postoperative lumbosacral spine. Neuroimaging Clin. North Am. 3:525‐541.
   Jinkins, J.R., Osborn, A.G., Garrett, D. Jr., and Hunt, S. 1993. Spinal nerve enhancement with Gd‐DTPA: MR correlation with the postoperative lumbosacral spine. Am. J. Neuroradiol. 14:383‐394.
   Shafaiae, F., Bunscuh, C., and Jinkins, J.R. 1997. The posttherapeutic lumbosacral spine. In Posttherapeutic Neurodiagnostic Imaging (J.R. Jinkins, ed.) pp. 223‐243. Lippincott‐Raven, Philadelphia.
   Shellock, F.G. 1996. Pocket Guide to MR Procedures and Metallic Objects. Lippincott‐Raven, Philadelphia.
   Van Goethem, J.W., Parizel, P.M., van den Hauwe, L., and DeSchepper, A.M. 1997. Imaging findings in patients with failed back surgery syndrome. J. Belge Radiol. 80(2):81‐84.
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