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68 P. D’Aprile and A. Tarantino
Fig. 1 (continued)
Herniated Lumbar Disk Diskectomy
Septic Spondylodiscitis
Paola D’Aprile and Alfredo Tarantino
• Patient with right low back pain and high level flogosis markers in
L4–L5 septic spondylitis after diskectomy
• Early and late MR postoperative follow-up (6 months after appearance
of sphincter disorders)
Early Postoperative Follow-Up
Fig. 1 a–d.SET1(a),
FSE T2 fat sat sagittal (b);
CE fat sat SE T1 sagittal
(c) and axial (d). L4–L5
infective spondylodiscitis
with involvement of
intervertebral disk and
bodies which are
characterized by typical
signal alteration (hyper
intensity in T2–b) and CE
(c–d)
Case
13
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_18, Springer-Verlag Italia 2014
69
70 P. D’Aprile and A. Tarantino
Fig. 1 (continued)
Postoperative Follow-Up After 6 Months
Fig. 2 a–c. CE fat sat SE T1 sagittal (a, c) and axial (b). Conus CE in myelitis associated with leptomeningeal CE in
dural fistula
Herniated Lumbar Disk Diskectomy
Septic Spondylodiscitis
Paola D’Aprile and Alfredo Tarantino
• Patient with low back pain and flogosis high-level markers in septic
spondylodiscitis following L4–L5 diskectomy
• Early MR postoperative follow-up
Early Postoperative Follow-Up
Fig. 1 a–c. FSE T2 fat sat
(a–b) SE fat sat CE T1
(c) sagittal. Septic
spondylodiscitis: L4–L5
disk and vertebral hyper
intensity (a–b), site of
previous diskectomy, no
pathological CE of the disk
(c)
Case
14
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_19, Springer-Verlag Italia 2014
71
Herniated Lumbar Disk Diskectomy
Septic Spondylodiscitis
Paola D’Aprile and Alfredo Tarantino
• Patient with right low back pain and high-level flogosis markers in
septic spondylodiscitis following L4–L5 diskectomy
• MR postoperative follow-up with PWI
Postoperative Follow-up
Fig. 1 a–f.SET1(a) and
FSE T2 fat sat (b) sagittal,
CE fat sat SE T1 sagittal
(c) and axial (d–e), PWI
(f–g). Septic
spondylodiscitis in L4–L5
with involvement of disk
and adjacent vertebral
bodies: T1 hypointensity
(a), T2 hyper intensity
(b) and CE (c–e). PWI with
diagram intensity/time in
ROI inside normal and
pathological regions. In
pathological areas there is
increase of perfusion index
(f–g)
Case
15
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_20, Springer-Verlag Italia 2014
73
74 P. D’Aprile and A. Tarantino
Fig. 1 (continued)
Herniated Lumbar Disk Diskectomy
Spondylitis - Arachnoiditis - Abscess
Paola D’Aprile and Alfredo Tarantino
• Patient with low back pain and high-level flogosis markers
in septic spondylitis with arachnoiditis and abscess following
diskectomy. Complete regression of symptoms after antibiotic therapy
• Early MR postoperative follow-up (1 and 5 days) and late (1 year)
Early Postoperative Follow-Up
Fig. 1 a–c. CE fat sat SE
T1 sagittal (a–b) and axial
(c). Post surgical septic
spondylitis with
pathological CE of L4
inferior subchondral
spongiosa (a–b) with
associated arachnoiditis,
bundling cauda and CE of
the roots (c)
Case
16
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_21, Springer-Verlag Italia 2014
75
76 P. D’Aprile and A. Tarantino
Fig. 1 (continued)
Case 16 - Herniated Lumbar Disk. Diskectomy 77
Postoperative Follow-up After 5 days
Fig. 2 a–c. CE fat sat SE T1 sagittal (a) and axial (b–c). Infection is worsened with formation of intradural abscess
(a) and along surgical breach in the extra-dural space (b–c)
78 P. D’Aprile and A. Tarantino
Late-Operative Follow-up After 1 Year
Fig. 3 CE fat sat SE T1.
Complete regression of the
infectious findings. Low
signal in sclerosis of L4
inferior subchondral
spongiosa