Добавил:
Sekretar
kiopkiopkiop18@yandex.ru
t.me/Prokururor I Вовсе не секретарь, но почту проверяю
Опубликованный материал нарушает ваши авторские права? Сообщите нам.
Вуз:
Предмет:
Файл:Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_6040_Библиотеки_им_академика_М_И_Перельмана.pdf
Case 7 - Herniated Lumbar Disk. Diskectomy 57
Postoperative Follow-Up After 6 Months
Fig. 4 a–g. CE fat sat SE T1 sagittal and axial sections. Persisting granulation tissue, evolving in fibrosis with
involvement of L3 nerve root (arrow)
Herniated Lumbar Disk Diskectomy
Recurrence
Paola D’Aprile and Alfredo Tarantino
• Patient with right persisting low back pain in L5–S1 herniated
disk treated by Diskectomy and laminectomy with removal of joints
• MR early postoperative follow-up
Early Postoperative Follow-Up
Case
8
Fig. 1 a–e.SET1(a) and fat sat FSE T2 (b) sagittal, CE fat sat SE T1 sagittal (c) and axial (d–e). Right L5-S1 dural
sac compression due to material adjacent to the disk and with its same MR signal. c–d: recurrent hernia surrounded by
CE granulation tissue with involvement of the rear surgical breach. Both nerve roots at lower level are cleary
visualized (e)
P. D’Aprile (&) A. Tarantino
Department of Neuroradiology, ‘‘San Paolo’’ Hospital, Bari, Italy
e-mail: paoladaprile@yahoo.it
T. Scarabino and S. Pollice (eds.), Imaging Spine After Treatment,
DOI: 10.1007/978-88-470-5391-5_13, Springer-Verlag Italia 2014
59
60 P. D’Aprile and A. Tarantino
Fig. 1 (continued)
Herniated Lumbar Disk Diskectomy
Recurrence
Paola D’Aprile and Alfredo Tarantino
• Patient with persisting left low back pain in L4–L5 herniated disk
treated by diskectomy and large laminectomy
• MR postoperative follow-up
Postoperative Follow-Up
Case
9
Fig. 1 a–f.SET1(a), FSE T2 (b), CE fat sat SE T1 sagittal (c), SE T1 axial (d–e) and CE fat sat SE T1 axial
(f–g) Recurrent hernia adjacent to L4–L5 disk (a–b). d–e: absence of gd administration and fat sat imaging limits
diagnosis, conversely (c, f–g) gd administration and fat sat allows to document left recurrence
P. D’Aprile (&) A. Tarantino
Department of Neuroradiology, ‘‘San Paolo’’ Hospital, Bari, Italy
e-mail: paoladaprile@yahoo.it
T. Scarabino and S. Pollice (eds.), Imaging Spine After Treatment,
DOI: 10.1007/978-88-470-5391-5_14, Springer-Verlag Italia 2014
61
62 P. D’Aprile and A. Tarantino
Fig. 1 (continued)
Herniated Lumbar Disk Diskectomy
Recurrent Hernia and Coexisting Fibrous Scar
Simone Salice, Domenico Tortora, Valentina Panara,
Massimo Caulo and Armando Tartaro
• Patient with persisting left low back pain in L5-S1 herniated disk
treated by diskectomy
• MR postoperative follow-up
Postoperative Follow-Up
Fig. 1 a–d. FSE T1
sagittal (a) and axial (c),
FSE fat sat T1 sagittal
(b) and CE FSE fat sat T1
sagittal (d). Recurrent
hernia (a, b) surrounded by
fibrous scar (d) with
compression on left S1
nerve root (c).
Case
10
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_15, Springer-Verlag Italia 2014
63
64 S. Salice et al.
Fig. 1 (continued)
Herniated Lumbar Disk Diskectomy
Recurrence and Fibrous Scar
Paola D’Aprile and Alfredo Tarantino
• Patient with persisting right low back pain in L5-S1 herniated
disk treated by diskectomy.
• MR postoperative follow-up
Postoperative Follow-Up
Case
11
Fig. 1 a–d.SET1(a–b) CE fat sat T1 axial (c–d). Differential diagnosis between recurrent hernia and post-surgical
fibrous scar is difficult because it is often coexisting. Absence of gd administration and fat sat imaging (a–b) do not
allow correct differential diagnosis. Recurrent hernia (c) coexisting with the fibrous scar surrounding the nerve root (d)
P. D’Aprile (&) A. Tarantino
Department of Neuroradiology, ‘‘San Paolo’’ Hospital, Bari, Italy
e-mail: Paoladaprile@yahoo.it
T. Scarabino and S. Pollice (eds.), Imaging Spine After Treatment,
DOI: 10.1007/978-88-470-5391-5_16, Springer-Verlag Italia 2014
65
66 P. D’Aprile and A. Tarantino
Fig. 1 (continued)
Herniated Lumbar Disk Micro-Diskectomy
Aseptic Radiculitis
Paola D’Aprile and Alfredo Tarantino
• Patient with right persisting low back pain in L5–S1 herniated disk
treated by micro-diskectomy
• Late MR postoperative follow-up (6 months)
Postoperative Follow-Up After 6 Months
Case
12
Fig. 1 a–c. SE T1 axial (a, b) CE fat sat SE T1 axial (c). Slight L5–S1 right intraforaminal engagement that
compresses the adjacent root sheath (a). Right sheath CE (c)
P. D’Aprile (&) A. Tarantino
Department of Neuroradiology, ‘‘San Paolo’’ Hospital, Bari, Italy
e-mail: paoladaprile@yahoo.it
T. Scarabino and S. Pollice (eds.), Imaging Spine After Treatment,
DOI: 10.1007/978-88-470-5391-5_17, Springer-Verlag Italia 2014
67