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Case 84 - Cervical Traumatic Fracture. Vertebral Removal 275
Early Postoperative Follow-Up
Fig. 2 a–b.XR
anteroposterior (a) and
lateral (b). Stabilization
with vertebral drawing and
cage positioning
Postoperative Follow-Up After 1 Month
Fig. 3 a–b.XR
anteroposterior (a) and
lateral (b). Regular
findings
Traumatic Cervical Fracture Vertebral Removal
Surrounding Soft Tissue Infection
Tommaso Scarabino, Saverio Pollice, Marianna Schiavariello,
Vincenzo Brandini and Michele Santoro
• Patient with C5 traumatic fracture treated by vertebral drawing
and prosthesis positioning fixed by transvertebral screws at C4–C6
• Early/late XR/CT/MR postoperative follow-up
Early Postoperative Follow-Up
Fig. 1 a–g.XR
anteroposterior (a), lateral
(b), CT axial (c–e) and
MPR sagittal (f–g). C5
prosthesis C4–C6-fixed.
Lordosis inversion
Case
85
T. Scarabino (&) S. Pollice M. Schiavariello
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_90, Springer-Verlag Italia 2014
277
278 T. Scarabino et al.
Fig. 1 (continued)
Case 85 - Traumatic Cervical Fracture. Vertebral Removal 279
Postoperative Follow-Up
Fig. 2 a–e. CT axial. Soft
tissue thickening and air
collection in the right
anterolateral region of the
neck, between carotid
space and thyroid
280 T. Scarabino et al.
Late Postoperative Follow-Up
Fig. 3 a–c. FSE fat sat
axial. Loss of superficial
tissue in the right
anterolateral region of the
neck. No abscesses
Odontoid Traumatic Fracture Stabilization
Intraoperative Bleeding
Alessandro Stecco, Francesco Fabbiano, Silvio Ciolfi, Martina
Quagliozzi, Christian Cossandi, Gabriele Panzarasa
and Alessandro Carriero
Preoperative Imaging
Fig. 1 a–b. CT axial (a),
MPR sagittal (b). Odontoid
displaced fracture with
posterior intracanal
fragment displacement.
C1–C2 dislocation and
other composed fracture of
odontoid base and top
(type I and II)
Case
86
• Patient with odontoid traumatic fracture treated by posterior
stabilization through screws in C1 lateral process and in C2
isthmus and peduncles
• Preoperative imaging and late CT postoperative follow-up
A. Stecco (&) F. Fabbiano S. Ciolfi M. Quagliozzi A. Carriero
Department of Radiology, ‘‘Maggiore della Carità’’ University Hospital, Novara, Italy
e-mail: stecco@libero.it
A. Carriero
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_91, Springer-Verlag Italia 2014
281
282 A. Stecco et al.
Postoperative Follow-Up After 1 Year
Fig. 2 a–b.CT
angiography (a) and MPR
sagittal (b). Buffered
vertebral intraoperative
bleeding. For this reason
no C1 screw positioning.
No surgical complications
Regular findings at CT
angiography. Regular
positioning of
transpedicular screws. No
recent bleeding
Fig. 3 a–b. CT axial
(a) and MPR sagittal (b).
Regular alignment of
fractured fragments.
Regular positioning of
right C1 screw
Odontoid Traumatic Fracture Stabilization
Epiglottis Falling in Exudative Collection
Chiara Potente, Tommaso Scarabino
and Gabriele Polonara
• Patient with choke sensation in the first night after odontoid
stabilization
• CT postoperative follow-up
Early Postoperative Follow-Up
Fig. 1 a–c.CT(a), MPR
sagittal (b) and coronal (c).
Motion artifacts in
difficulty breathing. C2
fracture treated by screw.
Soft tissue obstructs
airways through epiglottis
falling
Case
87
C. Potente G. Polonara (&)
Department of Neurosurgery, University Hospital, Ancona, Italy
e-mail: g.polonara@univpm.it
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_92, Springer-Verlag Italia 2014
283
284 C. Potente et al.
Fig. 1 continued
Atlanto-Occipital Malformation Anterior Odontoid Drawing
Sequelae
Teresa Popolizio, Francesca Di Chio, Leonardo Gorgoglione
and Giuseppe Guglielmi
Preoperative Imaging
Case
88
• Patient with atlanto-occipital malformation treated by odontoid
drawing through anterior transpalatal approach
• Preoperative imaging and CT postoperative follow-up
Fig. 1 a–c. MPR sagittal (a), max flexion (b) and max extension (c). Atlanto-occipital malformation with occipital
merging and basilar artery compression, slight odontoid instability, superoposteriorly displaced
T. Popolizio (&)
Department of Neuroradiology, Scientific Institute Hospital ‘‘Casa Sollievo della Sofferenza’’, San Giovanni
Rotondo (Fg), Italy
e-mail: t.popolizio@libero.it
F. Di Chio G. Guglielmi
Department of Radiology, University of Foggia, Foggia, Italy
L. Gorgoglione
Department of Neurosurgery, Scientific Institute Hospital ‘‘Casa Sollievo della Sofferenza’’, San Giovanni
Rotondo (Fg), Italy
G. Guglielmi
Department of Radiology, Scientific Institute Hospital ‘‘Casa Sollievo della Sofferenza’’,
San Giovanni Rotondo (Fg), Italy
T. Scarabino and S. Pollice (eds.), Imaging Spine After Treatment,
DOI: 10.1007/978-88-470-5391-5_93, Springer-Verlag Italia 2014
285