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Файл:Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_6040_Библиотеки_им_академика_М_И_Перельмана.pdf
Scoliosis Stabilization
Spinal Cord Ischemia
Ferdinando Caranci, Andrea Elefante, Domenico Cicala
and Francesco Briganti
• 14 y. o. patient with severe scoliosis treated by stabilization device
• Preoperative imaging: early (24h) and late (20days) postoperative
Preoperative Imaging
Fig. 1 a–b. XR antero-
posterior (a) and lateral
(b) views. Right-convex
thoraco-lumbar scoliosis,
reduction of sagittal curves
Case
58
follow up
F. Caranci (&) A. Elefante F. Briganti
Advanced Biomedical Sciences Department, Unit of Neuroradiology, Federico II University, Naples, Italy
e-mail: ferdinandocaranci@libero.it
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_63, Springer-Verlag Italia 2014
193
194 F. Caranci et al.
Post-Operative Follow-Up After 24 h
Fig. 2 a–f. RM TSE T2
sagittal (a–b), GE T2*
axial (c–f). Susceptibility
artifacts (due to metallic
distractor) until D3. C5–D1
spinal cord enlargement
(a–b), with grey substance
hyperintensity (c–f) due to
ischemia
Case 58 - Scoliosis. Stabilization 195
Post-Operative Follow-Up After 20 Days
Fig. 3 a–b. TSE T2
sagittal (a–b) sections.
Ischemic area reduction,
corresponding to clinical
improvement
Kyphoscoliosis Stabilization
CSF Fistula
Simone Salice, Domenico Tortora, Valentina Panara,
Massimo Caulo and Armando Tartaro
• Patient with severe kyphoscoliosis treated by transpeduncular bars,
screws, and multiple laminectomy
• Postoperative follow-up
Postoperative Follow-Up
Fig. 1 a–c. FSE T1 and
STIR sagittal (a–b) FSE
T2 axial (c). CSF in
paravertebral soft-tissue
fistula-supplied
Case
59
S. Salice D. Tortora V. Panara M. Caulo A. Tartaro (&)
Institute of Advanced Biomedical Technologies, Department of Neurosciences and Imaging,
‘‘G. D’Annunzio’’ University, Chieti-Pescara, Italy
e-mail: tartaro@unich.it
T. Scarabino and S. Pollice (eds.), Imaging Spine After Treatment,
DOI: 10.1007/978-88-470-5391-5_64, Springer-Verlag Italia 2014
197
198 S. Salice et al.
Fig. 1 (continued)
Osteoporotic Lumbar Collapse Vertebroplasty
Regular Findings
Francesco Fabbiano, Alessandro Stecco, Silvio Ciolfi,
Emanuele Malatesta, Alessio Usurini, Rita Fossaceca
and Alessandro Carriero
Preoperative Imaging
Case
60
• Patient with osteoporotic L1 collapse treated by vertebroplasty
• Preoperative imaging and postoperative late MR follow-up
(8 months) that shows further D12 collapse
Fig. 1 a–g.XR(a), CT MPR sagittal (b), SE T1 sagittal (c), FSE T2 sagittal (d) and coronal (e) STIR sagittal (f), GE
axial (g). L1 collapse, edema pattern (hyperintensity in f), intracanalar expansion of rear profiles with anterior epidural
space obliteration, no compressive myelopathy
F. Fabbiano A. Stecco (&) S. Ciolfi E. Malatesta A. Usurini R. Fossaceca A. Carriero
Department of Radiology, Maggiore della Carità University Hospital, Novara, Italy
e-mail: a.stecco@libero.it
A. Carriero
e-mail: procarriero@virgilio.it
T. Scarabino and S. Pollice (eds.), Imaging Spine After Treatment,
DOI: 10.1007/978-88-470-5391-5_65, Springer-Verlag Italia 2014
199
200 F. Fabbiano et al.
Fig. 1 (continued)
Case 60 - Osteoporotic Lumbar Collapse. Vertebroplasty. Regular Findings 201
Post-Vertebroplasty Follow-Up (8 Months)
Fig. 2 a–d.SET1(a), FSE T2 (b) STIR (c) sagittal, FSE T2 axial (d). L1 cement hypointensity, edema
improvement. Unchanged L1, no myelopathy. In D12 superior profile depression, STIR hyperintensity for edema and
slight posterior dislocation of posterosuperior edge. The disk in D11–D12 shows high signal hyperintensity T2/STIR
for inflammatory involvement (‘‘hot disk’’); it is associated to median-left paramedian disk protrusion, no myelopathy.
Further vertebroplasty in D12 is required
Dorsal Osteoporotic Collapse Vertebroplasty
Intracanalar Cement Leakage
Mario Muto, Gianluigi Guarnieri and Roberto Izzo
• Patient with D6 osteoporotic collapse treated by vertebroplasty
• XR/CT/MR early and late follow-up
Early Post Vertebroplasty Follow-Up
Fig. 1 a–b. Dorsal
fluoroscopy lateral
(a) posteroanterior (b).
Intracanalar cement
leakage at D6
Case
61
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_66, Springer-Verlag Italia 2014
203
204 M. Muto et al.
Fig. 2 a–b. CT axial
(a) MPR sagittal (b).
Intracanalar left
posterolateral cement
leakage
Late Post Vertebroplasty Follow-Up
Fig. 3 FSE T2 sagittal.
Intracanalar cement
compresses spinal cord,
no myelopathy