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Degenerative Lumbar Instability Double Interspinous Device Positioning
Regular Findings
Paola D’Aprile and Alfredo Tarantino
• Patient with low back pain due to vertebral instability in L4–L5 and
L5-S1 discopathy treated by double interspinous device positioning
(X-Stop).
• MR postoperative follow-up.
Postoperative Follow-Up
Fig. 1 a–e.SET1(a) FSE
fat sat T2 (b) sagittal, CE
fat sat SE T1 sagittal
(c) and axial (d–e). No
signal of interspinous
device at L4–L5 and L5-S1
with slight inflammatory
CE of adjacent soft tissue
Case
37
P. D’Aprile (&) A. Tarantino
Department of Neuroradiology, ‘‘San Paolo’’ Hospital, Bari, Italy
e-mail: paoladaprile@yahoo.it
T. Scarabino and S. Pollice (eds.), Imaging Spine After Treatment,
DOI: 10.1007/978-88-470-5391-5_42, Springer-Verlag Italia 2014
139
140 P. D’Aprile and A. Tarantino
Fig. 1 (continued)
Lumbar Degenerative Instability Interspinous Device Positioning
Regular Findings
Paola D’Aprile and Alfredo Tarantino
Preoperative Imaging
Fig. 1 a–c. XR lateral
(a) CE fat sat SE T1
sagittal (b) and axial (c).
Interspinous kissing is
visualized in XR (a) and
MR (b). b–c MR: CE of
the spinous processes and
of surrounding soft tissue
due to edema following
reduction of amplitude of
interspinous space
Case
38
• Patient with algic Baastrup due to interspinous L4–L5 arthrosis
treated by interspinous device positioning (DIAM)
• MR preoperative imaging and postoperative follow-up
P. D’Aprile (&) A. Tarantino
Department of Neuroradiology, ‘‘San Paolo’’ Hospital, Bari, Italy
e-mail: paoladaprile@yahoo.it
T. Scarabino and S. Pollice (eds.), Imaging Spine After Treatment,
DOI: 10.1007/978-88-470-5391-5_43, Springer-Verlag Italia 2014
141
142 P. D’Aprile and A. Tarantino
Fig. 1 (continued)
Postoperative Follow-Up
Fig. 2 XR. Regular
positioning of device
DIAM (arrow)
Stenosis and Degenerative Lumbar
Instability
Positioning of Double Interspinous
Device
Regular Findings
Tommaso Scarabino, Michela Capuano, Roberto Stanzione,
Anna Totagiancaspro and Michele Santoro
Preoperative Imaging
Case
39
• Patient with low back pain in stenosis and degenerative vertebral
instability treated by positioning of double interspinous device
(X-Stop) at L3–L4 and L4–L5
• XR/CT preoperative imaging and postoperative follow-up
Fig. 1 a–b. XR lateral
(a) and anteroposterior (b).
Right lumbar scoliosis.
Slight degenerative L4–L5
anterolisthesis
T. Scarabino (&) M. Capuano R. Stanzione
Department of Radiology—Neuroradiology, ‘‘Lorenzo Bonomo’’ Hospital, Andria, Italy
e-mail: tscarabino@hotmail.com
A. Totagiancaspro 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_44, Springer-Verlag Italia 2014
143
144 T. Scarabino et al.
Postoperative Follow-Up
Fig. 2 a–d. XR lateral (a) and anteroposterior (b) dynamic acquisition in max flexion (c) and extension (d). L4–L5
anterolisthesis persisting and incrementing in max extension
Fig. 3 a–c. CT Axial (a–b), MPR coronal (b). Regular positioning of device
Preoperative Imaging
Fig. 1 a–c. FSE T2
sagittal (a) axial (b–c).
I grade L4–L5
anterolisthesis with
interposed protruding disk
and clover stenosis. L3–L4
and L5-S1 herniated disk
Case
40
Stenosis and Degenerative Lumbar Instability Interspinous Device Positioning
Regular Findings
Mario Muto, Gianluigi Guarnieri and Roberto Izzo
• Patient with low back pain in degenerative L4–L5 anterolisthesis
and following canal stenosis treated by interspinous device and
percutaneous procedure
• XR/CT preoperative imaging and postoperative follow-up
M. Muto (&) G. Guarnieri R. Izzo
Department of Neuroradiology, ‘‘Cardarelli’’ Hospital, Naples, Italy
e-mail: mutomar@tiscali.it
T. Scarabino and S. Pollice (eds.), Imaging Spine After Treatment,
DOI: 10.1007/978-88-470-5391-5_45, Springer-Verlag Italia 2014
145
146 M. Muto et al.
Fig. 1 (continued)
Fig. 2 a–b. CT axial (a–b). L4–L5 clover stenosis and disk protrusion
Postoperative Follow-Up
Fig. 3 Fluoroscopic
control after percutaneous
treatment through rightoblique approach
Stenosis and Degenerative Lumbar Instability Interspinous Device Positioning
Regular Findings
Tommaso Scarabino, Fabio Quinto, Saverio Lorusso,
Carlo Delvecchio and Michele Santoro
Preoperative Imaging
Fig. 1 a–c.SET1(a),
FSE T2 (b) sagittal, FSE
T2 axial (c). L4-S1 centrallateral stenosis
Case
41
• Patient with low back pain in stenosis and instability treated by
interspinous device positioning (Superior) at L4–L5
• MR preoperative imaging and XR/MR postoperative follow-up
T. Scarabino (&) F. Quinto S. Lorusso
Department of Radiology—Neuroradiology, ‘‘Lorenzo Bonomo’’ Hospital, Andria, Italy
e-mail: tscarabino@hotmail.com
C. Delvecchio 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_46, Springer-Verlag Italia 2014
147
148 T. Scarabino et al.
Postoperative Follow-Up
Fig. 2 a–d. XR anteroposterior (a), lateral (b), dynamic acquisitions in max extension (c) and flexion (d). Regular
positioning of device. Right scoliosis. L5 slight anterolisthesis increasing during max extension
Fig. 3 FSE T2 sagittal.
Regular positioning
of device. Stenosis
persisting at L4-S1