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Файл:Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_6040_Библиотеки_им_академика_М_И_Перельмана.pdf
Multiple Traumatic Dorsal Collapses Double Stabilization
Regular Findings
Alessandro Stecco, Silvio Ciolfi, Francesco Fabbiano,
Rita Merla, Christian Cossandi, Giuliano Allegra,
Gabriele Panzarasa and Alessandro Carriero
Preoperative Imaging
Case
78
• Patient with D6–D11 traumatic collapses treated by posterior
double stabilization through trans-pedicular screws at D10, D11,
and D12. D10–D11 laminectomy
• Preoperative imaging and XR/CT follow-up
Fig. 1 a-e. CT MPR
sagittal (a), FSE T2 (b),
STIR (c), sagittal, FSE T2
axial (d–e). D11
plurifragmentary fracture
with intracanal expansion
of posterosuperior profile;
at this level spinal cord is
thickened and hyperintense
(b–c) due to myelopathy.
Recent D6 fracture with
anterior wedging and
intracanal overflowing
(3 mm) of rear profile; at
this level hyperkyphosis
without cord signal
alteration
A. Stecco (&) S. Ciolfi F. Fabbiano R. Merla 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
C. Cossandi 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_83, Springer-Verlag Italia 2014
253
254 A. Stecco et al.
Fig. 1 (continued)
Case 78 - Multiple Traumatic Dorsal Collapses. Double Stabilization 255
Postoperative Follow-Up
Fig. 2 a-e.XR(a), CT axial (d–e) and MPR sagittal (b–c–d). Transpedicular screws correctly positioned in D10,
D11, D12, D5, D6, and D7. Unchanged D6 and D11 rear profile
Traumatic Lumbar Collapse Rigid Stabilization
Screw Loosening
Chiara Potente, Roberto Trignani, Tommaso Scarabino
and Gabriele Polonara
• Patient with L2 traumatic collapse treated by percutaneous rigid
stabilization, bars and transpedicular screws at L1 and L3
• Late CT postoperative follow-up (1 year)
Postoperative Follow-Up After 1 Year
Case
79
Fig. 1 a–f. CT D12-L4
(a, b), MPR sagittal
(c, d) and coronal (e, f).
Bone alteration
surrounding left L1
transpedicular screw with
rarefaction and peripheral
sclerosis (a, b, e, f, short
arrow); front end screw
reaches L1 superior surface
(c, long arrow). L2 fracture
with superior surface
depression (e)
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
(a)
(b)
T. Scarabino and S. Pollice (eds.), Imaging Spine After Treatment,
DOI: 10.1007/978-88-470-5391-5_84, Springer-Verlag Italia 2014
257
258 C. Potente et al.
Fig. 1 (continued)
(c)
(e)
(d)
(f)
Multiple Collapses Rigid Stabilization
Device Rupture
Tommaso Scarabino, Michela Capuano, Roberto Stanzione,
Carlo Delvecchio and Raniero Mignini
Preoperative Imaging
Fig. 1 MPR sagittal.
Device rupture
Case
80
• Patient with multiple vertebral collapses due to echinococcus
cysts previously treated by stabilization through plaques and
transpedicular screws
• CT preoperative imaging and XR/MR early and late follow up
T. Scarabino M. Capuano R. Stanzione
Department of Radiology—Neuroradiology, ‘‘Lorenzo Bonomo’’ Hospital, Andria, Italy
C. Delvecchio 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_85, Springer-Verlag Italia 2014
259
260 T. Scarabino et al.
Early Postoperative Follow-Up
Fig. 2 a–b.XR
anteroposterior (a) and
sagittal (b). Stabilization
with lateral bars
Postoperative Follow-Up
Fig. 3 a–c. FSE T2 sagittal. Susceptibility artifacts
Traumatic Cervical Fracture Anterior Stabilization
Regular Findings
Tommaso Scarabino, Saverio Pollice, Marianna Schiavariello,
Vincenzo Brandini and Raniero Mignini
• Patient with C2 traumatic fracture treated at first with collar and
then by anterior stabilization through trans odontoid screw
• Preoperative imaging and early XR/CT follow-up
Preoperative Imaging
Fig. 1 a-i. XR lateral (a), CT axial (b–e), MPR
sagittal (f), 3D sagittal, and coronal (g–h), FSE T2
sagittal (i). Odontoid posteriorly displaced (a). CT
confirms XR findings with peduncles and lateral
masses involvement. (i) C2 edema
Case
81
T. Scarabino S. Pollice M. Schiavariello
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_86, Springer-Verlag Italia 2014
261
262 T. Scarabino et al.
Fig. 1 (continued)
Case 81 - Traumatic Cervical Fracture. Anterior Stabilization 263
Fig. 1 (continued)
Post Treatment Follow-Up After 4 days (Conservative Treatment)
Fig. 2 MPR sagittal.
Fractured fragments
alignement