Добавил:
Sekretar
kiopkiopkiop18@yandex.ru
t.me/Prokururor I Вовсе не секретарь, но почту проверяю
Опубликованный материал нарушает ваши авторские права? Сообщите нам.
Вуз:
Предмет:
Файл:Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_6040_Библиотеки_им_академика_М_И_Перельмана.pdf
X
- •Foreword
- •Preface
- •Acknowledgments
- •Contents
- •Contributors
- •References
- •2 Interventional Radiology
- •Part I
- •1 Pathology
- •1.1.1 Lumbar Disk Hernia
- •1.1.2 Cervical Disk Hernia
- •2.1.2 Chemonucleolysis
- •2.1.3 Coblation
- •2.1.4 Laser Diskectomy
- •2.1.5 Oxygen Ozone Therapy
- •2.2.1 Vertebroplasty
- •2.2.2 Kyphoplasty
- •References
- •3 Surgery
- •3.2.1 Fusion Surgery
- •3.2.3 Dynamic Stabilization
- •3.2.5 Facet Replacement Devices
- •3.2.6 Vertebral Body Replacement
- •References
- •4 Imaging Modalities
- •References
- •5 Post-treatment Imaging
- •5.1.1 Surgery in Lumbar Hernia
- •Complications
- •5.1.2 Surgery in Cervical Hernia
- •References
- •6 Herniated Lumbar Disk Diskectomy
- •7 Herniated Lumbar Disk Diskectomy
- •8 Herniated Lumbar Disk Diskectomy
- •9 Herniated Lumbar Disk Diskectomy
- •10 Herniated Lumbar Disk Diskectomy
- •11 Herniated Lumbar Disk Diskectomy
- •12 Herniated Lumbar Disk Diskectomy
- •13 Herniated Lumbar Disk Diskectomy
- •14 Herniated Lumbar Disk Diskectomy
- •15 Herniated Lumbar Disk Diskectomy
- •16 Herniated Lumbar Disk Diskectomy
- •17 Herniated Lumbar Disk Micro-Diskectomy
- •18 Herniated Lumbar Disk Diskectomy
- •19 Herniated Lumbar Disk Diskectomy
- •20 Herniated Lumbar Disk Diskectomy
- •21 Herniated Lumbar Disk Diskectomy
- •22 Herniated Lumbar Disk Diskectomy and Stabilization
- •23 Herniated Lumbar Disk Diskectomy and Stabilization
- •24 Herniated Lumbar Disk Diskectomy and Stabilization
- •25 Herniated Lumbar Disk Intradiskal Percutaneous Procedure
- •26 Herniated Lumbar Disk Percutaneous Intradiskal Procedure
- •27 Herniated Lumbar Disk Anterior Diskectomy
- •28 Recurrent Herniated Lumbar Disk Patient Reoperated
- •29 Recurrent Herniated Lumbar Disk Stabilization
- •30 Dorsal Herniated Disk Diskectomy and Stabilization
- •31 Herniated Cervical Disk Anterior Diskectomy
- •32 Herniated Cervical Disk Anterior Diskectomy
- •33 Herniated Cervical Disk Anterior Diskectomy
- •Preoperative Imaging
- •Postoperative Follow-Up
- •34 Herniated Cervical Disk Anterior Diskectomy
- •Preoperative Imaging
- •Postoperative Follow-Up
- •35 Cervical Spondylodiscitis Corpectomy
- •36 Septic Spondylodiscitis in Removal of Herniated Cervical Disk Anterior Approach Surgery
- •37 Herniated Cervical Disk Anterior Discectomy
- •38 Synovial Cysts Surgical Removal
- •39 Instability and Lumbar Stenosis Positioning of Inter-Spinous Device
- •40 Degenerative Lumbar Instability Double Interspinous Device Positioning
- •41 Lumbar Degenerative Instability Interspinous Device Positioning
- •42 Degenerative Lumbar Instability Double Interspinous Device Positioning
- •43 Lumbar Degenerative Instability Interspinous Device Positioning
- •45 Stenosis and Degenerative Lumbar Instability Interspinous Device Positioning
- •46 Stenosis and Degenerative Lumbar Instability Interspinous Device Positioning
- •47 Degenerative Lumbar Instability Interspinous Device Positioning
- •48 Degenerative Lumbar Instability Interspinous Device Positioning
- •49 Degenerative Lumbar Instability Interspinous Device Positioning
- •50 Degenerative Lumbar Instability Stabilization and Interspinous Device Positioning
- •51 Degenerative Lumbar Instability Rigid Posterior Stabilization
- •52 Degenerative Lumbar Instability Rigid Posterior Stabilization
- •Early Postoperative Follow-Up
- •53 Lumbar Stenosis and Degenerative Instability Posterior Rigid Stabilization
- •54 Degenerative Lumbar Instability Rigid Posterior Stabilization
- •Preoperative Imaging
- •Intraoperative Imaging
- •Postoperative Follow-Up
- •55 Degenerative Lumbar Instability Stabilization
- •56 Degenerative Lumbar Instability Rigid Posterior Stabilization
- •57 Degenerative Lumbar Instability Dynamic Stabilization
- •59 Traumatic Lumbar Dislocation Percutaneous Stabilization
- •Preoperative Imaging
- •Postoperative Follow-Up After 1 Month
- •60 Cervical Traumatic Dislocation Stabilization, Canal Decompression and Diskectomy
- •Pre-treatment Imaging
- •Follow-Up After 2 Months of Conservative Treatment
- •Follow-Up After 4 Months
- •62 Traumatic Cervical Dislocation and Fracture Anterior Stabilization
- •Preoperative Imaging
- •Post-Operative Follow-Up After 24 h
- •Post-Operative Follow-Up After 20 Days
- •64 Kyphoscoliosis Stabilization
- •Postoperative Follow-Up
- •65 Osteoporotic Lumbar Collapse Vertebroplasty
- •66 Dorsal Osteoporotic Collapse Vertebroplasty
- •63 Scoliosis Stabilization
- •67 Osteoporotic Dorsal Collapse Vertebroplasty
- •68 Osteoporotic Lumbar Collapse Kyphoplasty
- •Early Post-Kyphoplasty Follow-Up
- •Post-Kyphoplasty Follow-Up (2 years)
- •69 Traumatic Lumbar Collapse Vertebroplasty
- •70 Multiple Lumbar Traumatic Collapses Vertebroplasty
- •Preoperative Imaging
- •Post-vertebroplasty Follow-Up
- •71 Multiple Dorsal-Lumbar Traumatic Collapses Vertebroplasty
- •72 Traumatic Dorsal Collapse Vertebroplasty
- •Preoperative Imaging
- •Early Post-vertebroplasty Follow-Up
- •73 Traumatic Lumbar Collapse Rigid Stabilization and Vertebral Body Stenting
- •74 Lumbar Collapse in Lymphoma Vertebroplasty
- •75 Malignant Dorsal Collapse Vertebroplasty
- •76 Lumbar Collapse in Chordoma Vertebral Drawing
- •Preoperative Imaging
- •Early Postoperative Follow-Up
- •Postoperative Follow-Up After 6 Months
- •77 Dorsal Collapse in Multiple Myeloma Vertebroplasty
- •78 Malignant Lumbar Collapse Thermal Ablation Through Radio-Frequency and Vertebroplasty
- •79 Dorsal Collapse in Myeloma Stabilization
- •81 Traumatic Lumbar Collapse Stabilization and Canal Decompression
- •82 Traumatic Lumbar Collapse Double Stabilization and Decompression
- •83 Multiple Traumatic Dorsal Collapses Double Stabilization
- •84 Traumatic Lumbar Collapse Rigid Stabilization
- •85 Multiple Collapses Rigid Stabilization
- •86 Traumatic Cervical Fracture Anterior Stabilization
- •87 Cervical Traumatic Fracture Posterior Stabilization
- •88 Cervical Traumatic Fracture Posterior Stabilization
- •89 Cervical Traumatic Fracture Vertebral Removal
- •90 Traumatic Cervical Fracture Vertebral Removal
- •91 Odontoid Traumatic Fracture Stabilization
- •92 Odontoid Traumatic Fracture Stabilization
- •93 Atlanto-Occipital Malformation Anterior Odontoid Drawing
- •94 Amyotrophic Lateral Sclerosis Stem Cells Transplant
- •95 Functional MR

Tommaso Scarabino
Saverio Pollice
Editors
Imaging Spine
After Treatment
A Case-based Atlas
Foreword by
Carlo Faletti

Imaging Spine After Treatment

Tommaso Scarabino
Saverio Pollice
Editors
Imaging Spine After
Treatment
A Case-based Atlas
Foreword by Carlo Faletti
In collaboration with Paola D’Aprile, Mario Muto,
Alessandro Carriero, Alessandro Stecco, Ferdinando
Caranci, Gabriele Polonara, Giuseppe Guglielmi,
Teresa Popolizio, Armando Tartaro, Luigi Manfre`,
Raniero Mignini
123

Tommaso Scarabino
Saverio Pollice
Department of Radiology—Neuroradiology
‘‘L. Bonomo’’ Hospital
Andria, BT
Italy
ISBN 978-88-470-5390-8 ISBN 978-88-470-5391-5 (eBook)
DOI 10.1007/978-88-470-5391-5
Springer Milan Heidelberg New York Dordrecht London
Library of Congress Control Number: 2013939042
Springer-Verlag Italia 2014
This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or
part of the material is concerned, specifically the rights of translation, reprinting, reuse of
illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way,
and transmission or information storage and retrieval, electronic adaptation, computer software,
or by similar or dissimilar methodology now known or hereafter developed. Exempted from this
legal reservation are brief excerpts in connection with reviews or scholarly analysis or material
supplied specifically for the purpose of being entered and executed on a computer system, for
exclusive use by the purchaser of the work. Duplication of this publication or parts thereof is
permitted only under the provisions of the Copyright Law of the Publisher’s location, in its
current version, and permission for use must always be obtained from Springer. Permissions for
use may be obtained through RightsLink at the Copyright Clearance Center. Violations are
liable to prosecution under the respective Copyright Law.
The use of general descriptive names, registered names, trademarks, service marks, etc. in this
publication does not imply, even in the absence of a specific statement, that such names are
exempt from the relevant protective laws and regulations and therefore free for general use.
While the advice and information in this book are believed to be true and accurate at the date of
publication, neither the authors nor the editors nor the publisher can accept any legal
responsibility for any errors or omissions that may be made. The publisher makes no warranty,
express or implied, with respect to the material contained herein.
Printed on acid-free paper
Springer is part of Springer Science+Business Media (www.springer.com)

Foreword
Imaging of the spine represents since many years a fundamental step in
the identification of the disease and then in the following treatment
planning.
Treatment is influenced by proposed and executed diagnostic work
up, both in terms of used diagnostic techniques that uses qualitative and
iconographic interpretation.
The first point is the virtuous plot between quality of examinations
and diagnostic result, is definitely under the responsibility of the radiologist dedicated to the pathology of the spine and moreover must be
linked appropriately and professionally impeccable.
The second point is related to the professional preparation that,
although integrated by experience, can not be separated from a thorough clinical and technological knowledge, constantly updated through
professional training.
This definition becomes essential when you have to study the ‘‘difficult’’ field of post-surgical imaging, where, in addition to the knowledge
of surgical techniques and their results, there is the uneasy task of
expressing an opinion with high diagnostic value in the medical-legal
branch.
A text that takes into account these important factors must become
an integral part of cultural background in diagnostic imaging especially
for radiologists dedicated to the study of the pathology of the spine.
This volume examines, in a comprehensive way, the normal and
pathological feat ures that may arise in diagnostic imag ing in the operated spine, by specifying the role of the various imaging techniques, their
use, the ‘‘prickly’’ boundary between normal and pathological and then
the different pathological findings.
A praise to the authors and especially to Tommaso Scarabino for
being able to pick up an important case study collection, clearly and
comprehensive structured, easy to read and reference.
This text, therefore, must be present on the desk for frequent use.
v

vi Foreword
My invitation can only be so to acquire and use this text, to increase
diagnostic performance towards colleagues but particularly for the
benefits of patients.
Turin, 2013 Carlo Faletti
Radiodiagnostica CTO
Azienda Ospedaliera Citta`della Salute e della Scienza di Torino
Turin, Italy

Preface
This paper provides a review about imaging assessment of the spine after
treatment. This discussion is preceded by a detailed examination of
spinal disorders (major cause of surgery and/or interventional radiology)
and its various types of treatments used in daily clinical practice.
In general , any surgical approach alters the normal anatomical and
functional arrangement of the district which is aimed, therefore image
interpretation cannot ignore a correct set of knowledge in the field of
anatomy, pathophysiology, drug compliance, interventional radiology,
surgery.
Neuroradiological imaging plays an important role in the post-operative evaluation of patients undergoing spinal surgery. In particular, it is
essential in documenting normal and pathological post-treatment
changes, specific to approach type; in detecting any complications and in
the follow-up.
Imaging assessment of spine after surgery is complex and depends
upon several factors including: surgical procedures and disease for
which it was performed; biomechanical of the underlying cortical and
cancellous bone; conditions of muscles, intervertebral disc and ligaments; time since surgery procedures; duration and nature of the postsurgical syndrome. Depending upon these factors, one or a combination
of complementary imaging modalities (XR, CT, MR) may be required
to evaluate effectiveness of the treatment; to demonstrate any clinically
relevant abnormality at the treated region and adjacent structures; to
assist the interventional radiologist or surgeon in deciding if it is necessary intervene again, in which nature and in which vertebral level(s).
Tommaso Scarabino
vii

Acknowledgments
The topic of this volume is the neuroradiological imaging of spinal
pathology after surgery or interventional radiology treatment. Normal
and pathological findings (including complications) in X-ray, CT and
MRI will be evaluated.
This book is presented as a text-atlas. The first part (text) is essential
and synthetic and talks about spinal diseases subjected to interventional
procedure and/or surgery with its specific and various types of
approach. Afterwards radiological and neuroradiological diagn ostic
techniques in post-treatment are assessed. The second part (atlas)
instead includes a large iconography as the result of multicentre collaboration with top experts in this matter to which I express my gratitude. Without their essential collaboration would not have been possible
to carry out the work!
Finally a sincere thanks to the publishing house Springer Verlag Italy
and in particular to Ms. Cerri, for the enthusiasm with which she
received this scientific initiative, and to the whole team for the great care
and professionalism shown in the drafting of the publication.
Tommaso Scarabino
ix

Contents
Part I
1 Pathology..................................... 3
Saverio Pollice, Pietro Maggi, Tullia Garribba,
Saverio Lorusso and Tommaso Scarabino
2 Interventional Radiology.......................... 9
Tommaso Scarabino, Fabio Quinto, Carmine Iaffaldano,
Michele Santoro and Raniero Mignini
3 Surgery ...................................... 17
Tommaso Scarabino, Vincenzo Brandini, Michele Santoro
and Raniero Mignini
4 Imaging Modalities .............................. 29
Saverio Pollice, Michele Maiorano, Angela Lorusso,
Francesco Nemore and Tommaso Scarabino
5 Post-treatment Imaging .......................... 33
Saverio Pollice, Michela Capuano, Roberto Stanzione,
Marianna Schiavariello and Tommaso Scarabino
Part II Clinical Cases
6 Case 1: Herniated Lumbar Disk. Diskectomy. Aseptic
Spondylodiscitis ................................ 41
Paola D’Aprile and Alfredo Tarantino
7 Case 2: Herniated Lumbar Disk. Diskectomy.
Aseptic Spondilodyscitis .......................... 43
Paola D’Aprile and Alfredo Tarantino
8 Case 3: Herniated Lumbar Disk. Diskectomy. Scars
Sequelae...................................... 45
Mario Muto, Gianluigi Guarnieri and Roberto Izzo
xi

xii Contents
9 Case 4: Herniated Lumbar Disk. Diskectomy.
Scars Sequelae ................................. 47
Simone Salice, Domenico Tortora, Valentina Panara,
Massimo Caulo and Armando Tartaro
10 Case 5: Herniated Lumbar Disk. Diskectomy.
Pathological Postoperative Scar .................... 49
Paola D’Aprile and Alfredo Tarantino
11 Case 6: Herniated Lumbar Disk. Diskectomy.
Pathological Postoperative Scar .................... 51
Paola D’Aprile and Alfredo Tarantino
12 Case 7: Herniated Lumbar Disk. Diskectomy.
Pathological Postoperative Scar .................... 53
Ferdinando Caranci, Anna Caliendo, Carmen Castagnolo,
Raffaele Nappi and Achille Marotta
13 Case 8: Herniated Lumbar Disk. Diskectomy.
Recurrence.................................... 59
Paola D’Aprile and Alfredo Tarantino
14 Case 9: Herniated Lumbar Disk. Diskectomy.
Recurrence.................................... 61
Paola D’Aprile and Alfredo Tarantino
15 Case 10: Herniated Lumbar Disk. Diskectomy.
Recurrent Hernia and Coexisting Fibrous Scar ......... 63
Simone Salice, Domenico Tortora, Valentina Panara,
Massimo Caulo and Armando Tartaro
16 Case 11: Herniated Lumbar Disk. Diskectomy.
Recurrence and Fibrous Scar ...................... 65
Paola D’Aprile and Alfredo Tarantino
17 Case 12: Herniated Lumbar Disk. Micro-Diskectomy.
Aseptic Radiculitis .............................. 67
Paola D’Aprile and Alfredo Tarantino
18 Case 13: Herniated Lumbar Disk. Diskectomy.
Septic Spondylodiscitis ........................... 69
Paola D’Aprile and Alfredo Tarantino
19 Case 14: Herniated Lumbar Disk. Diskectomy.
Septic Spondylodiscitis ........................... 71
Paola D’Aprile and Alfredo Tarantino
Соседние файлы в папке Библиотека им академика М.И. Перельмана
