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Case 24 - Recurrent Herniated Lumbar Disk. Stabilization 103
Early Postoperative Follow-Up
Fig. 3 a–b.XR
anteroposterior (a), lateral
(b). L4–L5 ALIF: regular
positioning of the device
Late Postoperative Follow-Up
Fig. 4 a–b.XR
anteroposterior (a), and
lateral (b). ALIF
Dorsal Herniated Disk Diskectomy and Stabilization
Regular Findings
Alessandro Stecco, Francesco Fabbiano, Silvio Ciolfi,
Christian Cossandi, Piergiorgio Car, Gabriele Panzarasa
and Alessandro Carriero
Preoperative Imaging
Fig. 1 a–c. FSE T2
sagittal (a), STIR (b), and
FSE T2 axial (c). D11–D12
canal stenosis with
compression on spinal cord
anteriorly due to medianright paramedian disk
hernia and rear to
interapophyseal arthrosis
with yellow ligaments
hypertrophy. Spinal cord is
thinner with compressive
myelopathic signal
alteration (arrow b)
Case
25
• Patient with herniated disk and canal stenosis treated by diskectomy
with posterolateral transpedicular approach and further surgery of
laminectomy and pedicular stabilization
• MR preoperative imaging and late postoperative follow-up (4 months)
A. Stecco F. Fabbiano S. Ciolfi A. Carriero (&)
Department of Radiology, ‘‘Maggiore della Carità’’ University Hospital, Novara, Italy
e-mail: profcarriero@virgilio.it
C. Cossandi P. Car G. Panzarasa
Department of Neurosurgery, ‘‘Maggiore della Carità’’ University Hospital, Novara, Italy
T. Scarabino and S. Pollice (eds.), Imaging Spine After Treatment,
DOI: 10.1007/978-88-470-5391-5_30, Springer-Verlag Italia 2014
105
106 A. Stecco et al.
Fig. 1 (continued)
Postoperative Follow-Up After 4 Months
Fig. 2 a–c. FSE T2
sagittal (a), and FSE T2
axial (b, c). After
re-surgery reduction of
D11–D12 disk hernia and
of spinal cord compression.
There is still evident
myelopathic signal
alteration. c Transpedicular
screws positioning without
compression on the
surrounding spinal cord
space
Herniated Cervical Disk Anterior Diskectomy
Regular Findings
Tommaso Scarabino, Fabio Quinto, Saverio Lorusso,
Anna Totagiancaspro and Raniero Mignini
• Patient with bilateral cervical pain in C5–C6 herniated disk treated by
anterior diskectomy and intervertebral cage
• Early XR postoperative follow-up
Early Postoperative Follow-Up
Case
26
Fig. 1 a-c. XR anteroposterior (a), lateral (b, zoom in c). Radiopacity in C5–C6 of the device
T. Scarabino (&) F. Quinto S. Lorusso
Department of Radiology—Neuroradiology, ‘‘Lorenzo Bonomo’’ Hospital, Andria, Italy
e-mail: tscarabino@hotmail.com
A. Totagiancaspro R. Mignini
Department of Neurosurgery, ‘‘Lorenzo Bonomo’’ Hospital, Andria, Italy
T. Scarabino and S. Pollice (eds.), Imaging Spine After Treatment,
DOI: 10.1007/978-88-470-5391-5_31, Springer-Verlag Italia 2014
107
Herniated Cervical Disk Anterior Diskectomy
Regular Findings
Teresa Popolizio, Francesca Di Chio, Giovanni Miscio
and Giuseppe Guglielmi
Preoperative Imaging
Fig. 1 FSE T2 sagittal.
Partial inversion of
cervical lordosis. C4–C5
posterior disk
protrusion. Posterior
herniated disk compressing
dural canal at C5–C6
Case
27
• Patient with bilateral cervical pain in C5–C6 herniated disk treated
by anterior diskectomy and intervertebral prosthesis positioning
• XR/MR preoperative imaging and postoperative follow-up
T. Popolizio (&)
Department of Neuroradiology, Scientific Institute Hospital, ‘‘Casa Sollievo della Sofferenza’’,
San Giovanni Rotondo (Fg), Italy
e-mail: t.popolizio@libero.it
F. Di Chio G. Miscio G. Guglielmi
Department of Radiology, Scientific Institute Hospital, ‘‘Casa Sollievo della Sofferenza’’,
San Giovanni Rotondo (Fg), Italy
G. Guglielmi
Department of Radiology, University of Foggia, Foggia, Italy
T. Scarabino and S. Pollice (eds.), Imaging Spine After Treatment,
DOI: 10.1007/978-88-470-5391-5_32, Springer-Verlag Italia 2014
109
110 T. Popolizio et al.
Postoperative Follow Up
Fig. 2 a-b.XR(a), and FSE T2 sagittal (b). C5–C6 prosthesis
Herniated Cervical Disk Anterior Diskectomy
Regular Findings
Tommaso Scarabino, Saverio Pollice, Angela Lorusso,
Vincenzo Brandini and Michele Santoro
• Patient with cervical pain in C5–C6 herniated disk treated by disk-
• MR/XR preoperative imaging and postoperative follow-up
Preoperative Imaging
Fig. 1 a-c. XR lateral (a),
dynamic acquisitions: max extension (b), and max flexion (c). C5–
C6 and C6–C7 intervertebral space
reduction. Slight C5–C6 degenerative listhesis not changing in
dynamic acquisitions
Case
28
ectomy and intervertebral prosthesis
T. Scarabino (&) S. Pollice A. Lorusso
Department of Radiology—Neuroradiology, ‘‘Lorenzo Bonomo’’ Hospital, Andria, Italy
e-mail: tscarabino@hotmail.com
V. Brandini M. Santoro
Department of Neurosurgery, ‘‘Lorenzo Bonomo’’ Hospital, Andria, Italy
T. Scarabino and S. Pollice (eds.), Imaging Spine After Treatment,
DOI: 10.1007/978-88-470-5391-5_33, Springer-Verlag Italia 2014
111
112 T. Scarabino et al.
Fig. 1 (continued)
Postoperative Follow-Up
Fig. 2 a-d. XR anteroposterior (a), lateral (b), dynamic acquisitions: max extension (c), and max flexion (d). Slight
anterolisthesis persisting at C5–C6 not changing in dynamic acquisitions
Case 28 - Herniated Cervical Disk. Anterior Diskectomy 113
Fig. 3 a-d.SET1(a), FSE T2 (b), sagittal, FSE T2 (c), and GE* T2 (d) axial. C5–C6 prosthesis. Magnetic
susceptibility artifacts (mostly in GE T2*) limit correct evaluation of the district
Case
Herniated Cervical Disk Anterior Diskectomy
Early Effects
Teresa Popolizio, Francesca Di Chio, Michelangelo Nasuto,
Leonardo Gorgoglione and Giuseppe Guglielmi
• Patient with previous cervical pain in C5–C6 herniated disk treated
by anterior diskectomy and intervertebral prosthesis
• MR preoperative imaging and postoperative follow-up
29
T. Popolizio (&)
Department of Neuroradiology, Scientific Institute Hospital, ‘‘Casa Sollievo della Sofferenza’’,
San Giovanni Rotondo (Fg), Italy
e-mail: t.popolizio@libero.it
G. Guglielmi
Department of Radiology, Scientific Institute Hospital, ‘‘Casa Sollievo della Sofferenza’’,
San Giovanni Rotondo (Fg), Italy
F. Di Chio M. Nasuto G. Guglielmi
Department of Radiology, University of Foggia, Foggia, Italy
L. Gorgoglione
Department of Neurosurgery, Scientific Institute Hospital, ‘‘Casa Sollievo della Sofferenza’’,
San Giovanni Rotondo (Fg), Italy
T. Scarabino and S. Pollice (eds.), Imaging Spine After Treatment,
DOI: 10.1007/978-88-470-5391-5_34, Springer-Verlag Italia 2014
115