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Файл:Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_6040_Библиотеки_им_академика_М_И_Перельмана.pdf
218 T. Scarabino et al.
Early Post-vertebroplasty Follow-Up
Fig. 2 a–h. XR anteroposterior (a) lateral (b), CT axial (c–f), MPR sagittal (g), right para-sagittal (h). Cement rear
overflowing in D12 vertebroplasty (a). c–h, epidural cement leakage
Case 67 - Traumatic Dorsal Collapse. Vertebroplasty. Intra-Canalar Cement Leakage 219
Fig. 2 (continued)
Traumatic Lumbar Collapse Rigid Stabilization and Vertebral Body Stenting
Regular Findings
Chiara Potente, Roberto Trignani, Tommaso Scarabino
and Gabriele Polonara
Preoperative Imaging
Fig. 1 a–e. Thorax-
abdomen CT. MPR sagittal
(a, c), coronal (b), axial
images at L1 (d) and L4
(e). L1 fracture and
anterior wedging with
backing of posterosuperior
edge (a, c, d); superior
fracture of L4 with backing
of the posterosuperior edge
(a, b, c, e)
Case
68
• Patient with L1 and L4 collapse treated by stabilization through
transpeduncular screws and rigid bars in D12–L2 and by L4
vertebral body stenting
• Preoperative imaging and early CT postoperative follow-up
C. Potente G. Polonara (&)
Department of Neuroradiology, University Hospital, Ancona, Italy
e-mail: g.polonara@univpm.it
R. Trignani
Department of Neurosurgery, University Hospital, Ancona, Italy
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_73, Springer-Verlag Italia 2014
221
222 C. Potente et al.
Fig. 1 (continued)
Postoperative Follow-Up
Fig. 2 a–i. CT axial at L1 (a, b) and L4 (c). MPR sagittal (d-g) and coronal (h, i). Cord decompression by L1
bilateral laminectomy and L1–L2 aphophises removal (a, b, d, e). Relocation of L1 edge (d, e). L1 stabilization by bar
and metallic screws at D12–L2 (f–i) and vertebral body stenting at L4 (c–i). Narrowing of canal at L4 due to the
presence of bone fragment (c–e)
Lumbar Collapse in Lymphoma Vertebroplasty
Intervertebral Cement Leakage
Sivio Ciolfi, Alessandro Stecco, Francesco Fabbiano,
Emanuele Malatesta, Alberto Zuccala`, Rita Fossaceca
and Alessandro Carriero
Preoperative Imaging
Case
69
• Patient 80 y.o. with L5 pathological collapse treated by vertebroplasty
through right transpedicular approach
• Preoperative imaging and early/late MR follow-up
Fig. 1 a–c. CT MPR sagittal (a), FSE T2 (b) STIR (c) sagittal. Biconcave lens L5 pathological fracture
(T2 hyperintensity), grade I listhesis (L4–L5 and L5–S1) with restriction of spine canal; L4–L5 and L5-S1 protrusions
S. Ciolfi A. Stecco (&) F. Fabbiano E. Malatesta A. Zuccalà R. Fossaceca A. Carriero
Department of Radiology, ‘‘Maggiore della Carità’’ University Hospital, Novara, Italy
e-mail: a.stecco@libero.it
A. Carriero
e-mail: profcarriero@virgilio.it
T. Scarabino and S. Pollice (eds.), Imaging Spine After Treatment,
DOI: 10.1007/978-88-470-5391-5_74, Springer-Verlag Italia 2014
223
224 S. Ciolfi et al.
Postoperative Follow-Up
Fig. 2 a–c. CT MPR coronal (a) and sagittal (b–c). Cement in L5–S1 intervertebral space. Unchanged L5
Late Postoperative Follow-Up
Fig. 3 a–c.SET1(a–b) and FSE T2 (c). Small cement hypointensity in L5-S1. Further L5 height reduction,
unchanged L4–L5 and L5–S1 listhesis. No more appreciable L5 malignant tissue
Malignant Dorsal Collapse Vertebroplasty
Extra-Axial Hematoma
Ferdinando Caranci, Andrea Elefante, Antonio Volpe
and Francesco Briganti
Preoperative Imaging
Fig. 1 a–c.SET1(a),
TSE T2 (b) STIR
(c) sagittal sections. D11
malignant collapse with
posterior profile
overflowing and
compressing conus
Case
70
• D11 malignant collapse treated by vertebroplasty
• Preoperative imaging and CT/MR follow-up
F. Caranci (&) A. Elefante A. Volpe F. Briganti
Advanced Biomedical Sciences Department, Unit of Neuroradiology, ‘‘Federico II’’ University, Naples, Italy
e-mail: ferdinandocaranci@libero.it
T. Scarabino and S. Pollice (eds.), Imaging Spine After Treatment,
DOI: 10.1007/978-88-470-5391-5_75, Springer-Verlag Italia 2014
225
226 F. Caranci et al.
Preoperative Imaging
Fig. 2 a–d. CT axial sections. D11 lytic alteration involving both peduncles (mostly left)
Case 70 - Malignant Dorsal Collapse. Vertebroplasty 227
Post-vertebroplasty Follow-Up
Fig. 3 a–d. CT axial sections. Epidural cement leakage
228 F. Caranci et al.
Fig. 4 a–f.SET1(a),
TSE T2 (b) sagittal, TSE
T2 axial (c–f) sections.
Extra-axial blood
collection extending in
D8–L2 epidural space.
Secondary compression of
spinal cord with signs of
myelopathy