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116 T. Popolizio et al.
Preoperative Imaging
Fig. 1 a–b.SET1(a),
and FSE T2 (b) sagittal.
Partial inversion of
cervical lordosis. C5–C6
posterior herniated disk
compressing dural canal.
C6–C7 posterior disk
protusion
Case 29 - Herniated Cervical Disk. Anterior Diskectomy 117
Postoperative Follow-Up
Fig. 2 a–c. FSE T2 (a),
SE T1 (b), and CE T1
(c) sagittal. C5–C6
surgery. CE of involved
vertebrae and thickening of
rear longitudinal ligament
Cervical Spondylodiscitis Corpectomy
Sequelae
Teresa Popolizio, Giuseppe Guglielmi and Rosy Setiawati
Preoperative Imaging
Fig. 1 a–d. FSE T2
(a) and STIR (b) sagittal,
SE T1 axial (c–d). C6–C7
bone marrow edema with
anterior epidural fluid
collection and C6–C7
discitis compressing
anteriorly spinal cord
(spondylitis with epidural
abscess). C4–C8
myeloedema. Fluid
collection filled between
anterior longitudinal
ligament and spine
Case
30
• Patient with cervical spondylodiscitis and epidural abscess treated by
corpectomy and anterior fixation at C5–C7
• Preoperative imaging and postoperative follow-up RM
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; Department of Radiology, University of Foggia, Foggia, Italy
R. Setiawati
Department of Radiology, Rumah Satik Surabaya International Hospital, Surabaya, Indonesia
T. Scarabino and S. Pollice (eds.), Imaging Spine After Treatment,
DOI: 10.1007/978-88-470-5391-5_35, Springer-Verlag Italia 2014
119
120 T. Popolizio et al.
Fig. 1 (continued)
Postoperative Follow-Up
Fig. 2 a–b. FSE T2
(a) and CESE T1
(b) sagittal. Slight bone
marrow edema. Metallic
artifact. No pathological
CE. Spinal cord atrophy
with C6–C7 myelomalacia
Septic Spondylodiscitis in Removal of Herniated Cervical Disk Anterior Approach Surgery
Chylothorax Subsequent Rupture of Thoracic
Duct
Chiara Potente, Tommaso Scarabino
and Gabriele Polonara
• Patient with septic spondylodiscitis following anterior approach
surgery in treatment of herniated disk
• MR early postoperative follow-up
Early Postoperative Follow-Up
Fig. 1 a–d. FSE T2
sagittal (a), coronal (b),
and axial (c–d). T2
hyperintense large liquid
collection completely
occupying right
hemithotax due to
chylothorax
Case
31
C. Potente G. Polonara (&)
Department of Neuroradiology, University Hospital, Ancona, Italy
e-mail: g.polonara@univpm.it
T. Scarabino
Department of Radiology—Neuroradiology, ‘‘Lorenzo Bonomo’’ Hospital, Andria, Italy
T. Scarabino and S. Pollice (eds.), Imaging Spine After Treatment,
DOI: 10.1007/978-88-470-5391-5_36, Springer-Verlag Italia 2014
121
122 C. Potente et al.
Fig. 1 (continued)
Herniated Cervical Disk Anterior Discectomy
Prevertebral Hematoma
Chiara Potente, Tommaso Scarabino
and Gabriele Polonara
• Patient with severe dyspnea few hours after anterior discectomy and
intervertebral cage positioning
• Early CT postoperative follow-up
Early Postoperative Follow-Up
Case
32
Fig. 1 a–f.CT(a) and CE CT (b), bone window MPR sagittal (c), CE soft tissue window sagittal (d), CE soft tissue
window coronal (e, f). Large blood collection in the prevertebral space that displaces trachea and larynx right-lateralanteriorly, laterocervical vessels left-lateral posteriorly (a–c). Contrast medium leakage inside the hematoma (d–f)
C. Potente G. Polonara (&)
Department of Neuroradiology, University Hospital, Ancona, Italy
e-mail: g.polonara@univpm.it
T. Scarabino
Department of Radiology—Neuroradiology, ‘‘Lorenzo Bonomo’’ Hospital, Andria, Italy
T. Scarabino and S. Pollice (eds.), Imaging Spine After Treatment,
DOI: 10.1007/978-88-470-5391-5_37, Springer-Verlag Italia 2014
123
124 C. Potente et al.
Fig. 1 (continued)
Synovial Cysts Surgical Removal
Recurrence
Ferdinando Caranci, Luca Brunese, Domenico Cicala
and Francesco Briganti
Preoperative Imaging
Fig. 1 a–g. FSE T2
sagittal (a–c) and axial
(d–g) sections. L4-L5
small cystic lesion in right
foraminal recess (arrow),
supplied by interapophyseal fluid. Bilateral
interapophyseal
degenerative phenomenon,
with articular hypertrophy
and subsequent narrowing
of vertebral canal (e–g)
Case
33
• Patient with recurrent radiculitis after synovial cyst removal at L4–L5
and a short healthy period
• MR preoperative imaging and postoperative follow-up after 2 and 3
months (with only symptomatic therapy)
F. Caranci (&) F. Briganti
Advanced Biomedical Sciences Department, Unit of Neuroradiology, ‘‘Federico II’’ University, Naples, Italy
e-mail: ferdinandocaranci@libero.it
L. Brunese
Department of Health Sciences, Chair of Radiology, University of Molise, Campobasso, Italy
D. Cicala
Unit of Diagnostic Imaging, Villa Fiorita Clinic, Capua, CE, Italy
T. Scarabino and S. Pollice (eds.), Imaging Spine After Treatment,
DOI: 10.1007/978-88-470-5391-5_38, Springer-Verlag Italia 2014
125
126 F. Caranci et al.
Fig. 1 (continued)