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Файл:Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_6040_Библиотеки_им_академика_М_И_Перельмана.pdf
Dorsal Collapse in Myeloma Stabilization
Sequelae
Teresa Popolizio, Giuseppe Guglielmi and Rosy Setiawati
Preoperative Imaging
Fig. 1 a–b.SET1
(a) FSE T2 (b) sagittal. D6
collapse with bone marrow
replacement by soft tissue
mass extending in the
anterior epidural space and
compressing spinal cord
Case
74
• Patient with D6 collapse in myeloma treated by D3–D5
and D7–D9 posterior stabilization
• Preoperative imaging and MR follow-up
T. Popolizio (&)
Department of Neuroradiology, Scientific Institute Hospital ‘‘Casa Sollievo della Sofferenza’’,
San Giovanni Rotondo (Fg), Italy
e-mail: t.popolizio@libero.it
G. Guglielmi
Department of Radiology, Scientific Institute Hospital ‘‘Casa Sollievo della Sofferenza’’,
San Giovanni Rotondo (Fg), Italy; Department of Radiology, University of Foggia, Foggia, Italy
R. Setiawati
Department of Radiology, Rumah Satik Surabaya International Hospital, Surabaya, Indonesia
T. Scarabino and S. Pollice (eds.), Imaging Spine After Treatment,
DOI: 10.1007/978-88-470-5391-5_79, Springer-Verlag Italia 2014
241
242 T. Popolizio et al.
Preoperative Imaging
Fig. 2 FSE T2 sagittal.
D6 post surgery collapse:
no further epidural mass or
cord compression. Metallic
artifacts
Neoplastic Cervical DislocationCollapse
Vertebral Removal
Regular Findings
Tommaso Scarabino, Fabio Quinto, Saverio Lorusso,
Francesco Paradiso and Michele Santoro
Preoperative Imaging
Fig. 1 a-c. XR max
extension lateral (a), SE T1
(b) and STIR (c). C2–C3
fracture dislocation. C3
collapse, edema pattern
(b-c), and spinal cord
compression. Both findings
are malignant
Case
75
• Patient with C2–C3 neoplastic dislocation collapse. Prosthesis
positioning at C2 and C4
• XR preoperative imaging and early XR/MR follow-up
T. Scarabino (&) F. Quinto S. Lorusso
Department of Radiology—Neuroradiology, ‘‘Lorenzo Bonomo’’ Hospital, Andria, Italy
e-mail: tscarabino@hotmail.com
F. Paradiso 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_80, Springer-Verlag Italia 2014
243
244 T. Scarabino et al.
Fig. 1 (continued)
Early Postoperative Follow-Up
Fig. 2 a–c. XR lateral.
Vertebral removal and
prosthesis positioning in
C3
Case 75 - Neoplastic Cervical Dislocation-Collapse. Vertebral Removal 245
Fig. 2 (continued)
Postoperative Follow-Up After 3 Months
Fig. 3 a-b.SET1(a) and FSE T2 (b) sagittal. Susceptibility artifacts at C2–C4
Traumatic Lumbar Collapse Stabilization and Canal Decompression
Regular Findings
Alessandro Stecco, Silvio Ciolfi, Francesco Fabbiano,
Christian Cossandi, Rita Merla, Gabriele Panzarasa
and Alessandro Carriero
Preoperative Imaging
Case
76
• Patient with L2 traumatic collapse treated by L1–L2–L3
stabilization through trans-pedicular screws and L2–L3
bilateral laminotomy
• Preoperative imaging and CT follow-up
Fig. 1 a–c. XR lateral (a), CT axial (b) and MPR sagittal (c). a L2 superior profile depression with intracanalar
fractured fragment that compresses dural sac. b L2 multifragmentary fracture with intracanalar fragment dislocation.
Further fragment is anteriorly displaced
A. Stecco S. Ciolfi F. Fabbiano R. Merla A. Carriero (&)
Department of Radiology, ‘‘Maggiore della Carità’’ University Hospital, Novara, Italy
e-mail: profcarriero@virgilio.it
C. Cossandi G. Panzarasa
Department of Neurosurgery, ‘‘Maggiore della Carità’’ University Hospital, Novara, Italy
T. Scarabino and S. Pollice (eds.), Imaging Spine After Treatment,
DOI: 10.1007/978-88-470-5391-5_81, Springer-Verlag Italia 2014
247
248 A. Stecco et al.
Postoperative Follow-Up
Fig. 2 a–b. CT axial
(a) and MPR sagittal (b).
Devices correctly
positioned with regular
alignment
Traumatic Lumbar Collapse Double Stabilization and Decompression
Regular Findings
Alessandro Stecco, Silvio Ciolfi, Francesco Fabbiano,
Rita Merla, Giuliano Allegra, Gabriele Panzarasa
and Alessandro Carriero
Preoperative Imaging
Case
77
• Patient with L4 traumatic collapse treated by L3–L5 posterior
stabilization through transpedicular screws, L3 decompression,
L3 prosthesis positioning after 4 months (Obelisc) through
anterolateral approach
• Preoperative imaging and XR/CT follow-up
Fig. 1 a-c.SET2(a),
STIR (b) sagittal, SE T2
sagittal (c). L4
plurifragmentary fracture
with rear profile
overflowing, restriction of
spine canal and dural sac
compression (a–b). STIR
(b) L4 edema. Dural sac
compression
A. Stecco S. Ciolfi F. Fabbiano R. Merla A. Carriero (&)
Department of Radiology, ‘‘Maggiore Della Carità’’ University Hospital,
Novara, Italy
e-mail: profcarriero@virgilio.it
G. Allegra G. Panzarasa
Department of Neurosurgery, ‘‘Maggiore Della Carità’’ University Hospital,
Novara, Italy
T. Scarabino and S. Pollice (eds.), Imaging Spine After Treatment,
DOI: 10.1007/978-88-470-5391-5_82, Springer-Verlag Italia 2014
249
250 A. Stecco et al.
Fig. 1 (continued)
Postoperative Follow-Up After 1st Surgery
Fig. 2 a-b. XR lateral (a) CT axial (b). Stabilization. Posterior profile L4 dislocation. (b) Transpedicular screw
correctly positioned
Case 77 - Traumatic Lumbar Collapse. Double Stabilization and Decompression 251
Postoperative Follow-Up After 2nd Surgery
Fig. 3 MPR sagittal.
‘‘Obelisc Cage’’ at L4 with
reduction of L4 posterior
profile retropulsion, no
symptoms