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Lumbar Collapse in Chordoma Vertebral Drawing
Regular Findings
Tommaso Scarabino, Fabio Quinto, Michele Maiorano,
Michela Capuano and Saverio Pollice
• Patient with L1 collapse treated by drawing and D11–L3 stabiliza-
• Preoperative imaging and early/late MR follow-up
Preoperative Imaging
Case
71
tion through trans-peduncolar screws, bars and cage
Fig. 1 a–f.RMSET1(a), FSE T2 (b), STIR sagittal (c), CE T1 sagittal (d), and axial (e–f). L1 partial collapsed (T1
hypointensity, T2/STIR hyperintensity) and pathological CE. Intracanalar expansion
T. Scarabino (&) F. Quinto M. Maiorano M. Capuano S. Pollice
Department of Radiology—Neuroradiology, ‘‘Lorenzo Bonomo’’ Hospital, Andria, Italy
e-mail: tscarabino@hotmail.com
T. Scarabino and S. Pollice (eds.), Imaging Spine After Treatment,
DOI: 10.1007/978-88-470-5391-5_76, Springer-Verlag Italia 2014
229
230 T. Scarabino et al.
Fig. 1 (continued)
Early Postoperative Follow-Up
Fig. 2 a–f.SET1(a), FSE T2 (b), STIR (c) sagittal, CE T1sagittal (d) and axial (e–f). Postsurgery susceptibility
artifacts. D12–L2 retrovertebral fluid collection. CE of surrounding soft tissue in reactive flogosis
Case 71 - Lumbar Collapse in Chordoma. Vertebral Drawing 231
Fig. 2 (continued)
Postoperative Follow-Up After 6 Months
Fig. 3 a–d.SET1
(a), STIR (b) sagittal, CE
T1 sagittal (c) and axial
(d). Regular findings
Dorsal Collapse in Multiple Myeloma Vertebroplasty
Spondylitis
Mario Muto, Gianluigi Guarnieri and Roberto Izzo
• Patient with D8 collapse by vertebroplasty. Recurrence of pain (ESR
and PCR increase, fever)
• Early and late MR follow-up (6 months/1 year)
Early Postvertebroplasty Follow-Up
Fig. 1 a–c. STIR sagittal
(a), CE fat sat T1 sagittal
(b) axial (c). D8–D9
infectious spondylitis (T2
hyperintensity) (a) and D8
pathological CE (b) with
expansion in surrounding
soft tissue (c)
Case
72
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_77, Springer-Verlag Italia 2014
233
234 M. Muto et al.
Fig. 1 (continued)
Fig. 2 a–b. MPR sagittal (D8 erosion and collapse)
Case 72 - Dorsal Collapse in Multiple Myeloma. Vertebroplasty 235
Postvertebroplasty Follow-Up After 6 Months
Fig. 3 a–c. FSE T2
sagittal (a) CE fat sat T1
sagittal (b) axial (c). CE
and T2 hyp reduction at
D8–D9 (a–b). Persisting
flogosis (c)
236 M. Muto et al.
Postvertebroplasty Follow-Up After 1 Year
Fig. 4 a–c.SET1(a) FSE T2 (b) sagittal, MPR sagittal (c). Complete regression after antibiotics. D8 sclerosis (low
signal) and D7 intracanalar backing, no symptoms
Malignant Lumbar Collapse Thermal Ablation Through Radio-Frequency and Vertebroplasty
Paravertebral Necrotic Collection
Simone Salice, Domenico Tortora, Valentina Panara,
Massimo Caulo and Armando Tartaro
Preoperative Imaging
Fig. 1 a–b.SET1
(a) STIR (b) sagittal. L3
collapse
Case
73
• Patient with L3 malignant collapse in breast cancer treated
by thermal ablation with radiofrequency and L3 transpedicular
percutaneous vertebroplasty
• Preoperative imaging and early/late MR follow-up
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_78, Springer-Verlag Italia 2014
237
238 S. Salice et al.
Postoperative Follow-Up
Fig. 2 a–d. SE T1 and STIR sagittal (a–b), T2 and CE fat sat T1 axial (c–d). L3 thermal ablation and vertebroplasty
(a–b) with necrotic collection along surgical breach (c–d), left psoas involvement (d)
Case 73 - Malignant Lumbar Collapse 239
Postoperative Follow-Up After 6 Months
Fig. 3 a–d. SE T1 and STIR sagittal (a–b), FSE T2 and CE fat sat T1 axial (c–d). Collection resorption (c) and CE
reduction (d)