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Файл:Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_6040_Библиотеки_им_академика_М_И_Перельмана.pdf
Osteoporotic Dorsal Collapse Vertebroplasty
Spondylitis
Mario Muto, Gianluigi Guarnieri and Roberto Izzo
• Patient with D9 osteoporotic collapse (ESR and PCR increase, fever)
treated by vertebroplasticaat D8–D9
• MR follow-up
Post-vertebroplasty Follow-Up
Fig. 1 a–b. SE T1 and
FSE T2 sagittal (a) CE fat
sat T1 (c). D8 infectious
spondylitis (T1 and T2
hypointensity a),
pathological subchondral
CE extending in
paravertebral soft tissue (b)
Case
62
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_67, Springer-Verlag Italia 2014
205
Osteoporotic Lumbar Collapse Kyphoplasty
No Vertebral Growth
Mario Muto, Gianluigi Guarnieri and Roberto Izzo
• Patient with L3 osteoporotic collapse treated by kyphoplasty
• Early and late post-kyphoplasty XR follow-up
Early Post-Kyphoplasty Follow-Up
Case
63
Fig. 1 a–b. XR posteroanterior (a) and lateral (b). L3 height restoration, no cement leakage
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_68, Springer-Verlag Italia 2014
207
208 M. Muto et al.
Post-Kyphoplasty Follow-Up (2 years)
Fig. 2 a–b.XRPA(a) and LL (b). L3 superior profile depression and height reduction
Traumatic Lumbar Collapse Vertebroplasty
Extracanalar Cement Leakage
Tommaso Scarabino, Michele Maiorano, Tullia Garribba,
Vincenzo Brandini and Michele Santoro
• Patient with L3 post-traumatic vertebral collapse treated by
vertebroplasty
• Early XR follow-up
Post-vertebroplasty Follow-up
Fig. 1 a–b. XR antero–
posterior (a) and lateral
(b). Cement in left
paravertebral space, no
symptoms
Case
64
T. Scarabino (&) M. Maiorano T. Garribba
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_69, Springer-Verlag Italia 2014
209
Multiple Lumbar Traumatic Collapses Vertebroplasty
Intra-Extracanalar Cement Leakage
Tommaso Scarabino, Angela Lorusso, Saverio Pollice,
Carmine Iaffaldano and Raniero Mignini
• Patient with L1–L3 posttraumatic collapses treated by vertebroplasty
• MR Preoperative imaging and CT follow-up
Preoperative Imaging
Fig. 1 a–c.SET1(a),
FSE T2 (b) STIR
(c) sagittal. Partial L1 and
L3 collapses with superior
profile depression, edema
pattern, and normal rear
profile
Case
65
T. Scarabino (&) A. Lorusso S. Pollice
Department of Radiology—Neuroradiology, ‘‘Lorenzo Bonomo’’ Hospital, Andria, Italy
e-mail: tscarabino@hotmail.com
C. Iaffaldano 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_70, Springer-Verlag Italia 2014
211
212 T. Scarabino et al.
Post-vertebroplasty Follow-Up
Fig. 2 a–i.CTaxial (a–d), MPR sagittal (e–g) coronal (h–i). Bilateral anterior cement endocanalar leakage
(c–d–f–g); right extracanalar leakage (a–b–e–h–i)
Multiple Dorsal-Lumbar Traumatic Collapses Vertebroplasty
Intra-Canalar Cement Leakage
Tommaso Scarabino, Michele Maiorano, Tullia Garribba,
Vincenzo Brandini and Raniero Mignini
Preoperative Imaging
Fig. 1 a–f.XR
anteroposterior (a–
b) lateral (c), MPR sagittal
CT (c), SE T1 (d), FSE T2
(e) STIR (f). D12–L1
superior profile depression.
Edema pattern: T1
hypointensity (d), T2 iso/
hyperintensity (f)
Case
66
• Patient with D12–L1 post-traumatic collapses treated
by vertebroplasty
• XR/CT/MR preoperative imaging and early XR/MR follow-up
T. Scarabino M. Maiorano T. Garribba
Department of Radiology—Neuroradiology, ‘‘Lorenzo Bonomo’’ Hospital, Andria, Italy
V. Brandini R. Mignini (&)
Department of Neurosurgery, ‘‘Lorenzo Bonomo’’ Hospital, Andria, Italy
e-mail: ranieromignini@libero.it
T. Scarabino and S. Pollice (eds.), Imaging Spine After Treatment,
DOI: 10.1007/978-88-470-5391-5_71, Springer-Verlag Italia 2014
213
214 T. Scarabino et al.
Fig. 1 (continued)
Case 66 - Multiple Dorsal-Lumbar Traumatic Collapses. Vertebroplasty 215
Early Post-vertebroplasty Follow-Up
Fig. 2 a–c. XR anteroposterior (a–b), lateral (c). D12 and L1 vertebroplasty (partially collapsed). Posterior cement
leakage at L1 (c)
Fig. 3 a–c. FSE T2 sagittal (a), right para-sagittal (b), axial (c). D12–L1 superior profile depression post
vertebropasty. Epidural right cement leakage. No symptoms
Traumatic Dorsal Collapse Vertebroplasty
Intra-Canalar Cement Leakage
Tommaso Scarabino, Fabio Quinto, Saverio Lorusso,
Francesco Paradiso and Raniero Mignini
• Patient with post-traumatic D12 collapse treated by vertebroplasty
• MR preoperative imaging and XR/CT early follow-up
Preoperative Imaging
Fig. 1 a–c.SET1(a),
FSE (T2) (b), STIR
(c) sagittal. Post-traumatic
partial D12 collapse with
superior profile depression,
edema pattern (T1
hypointensity, T2 isohyperintensity, STIR
hyperintensity), and
regular rear profile
Case
67
T. Scarabino F. Quinto S. Lorusso
Department of Radiology—Neuroradiology, ‘‘Lorenzo Bonomo’’ Hospital, Andria, Italy
F. Paradiso R. Mignini (&)
Department of Neurosurgery, ‘‘Lorenzo Bonomo’’ Hospital, Andria, Italy
e-mail: ranieromignini@libero.it
T. Scarabino and S. Pollice (eds.), Imaging Spine After Treatment,
DOI: 10.1007/978-88-470-5391-5_72, Springer-Verlag Italia 2014
217