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Imaging Assessment of the Postoperative Spine: An Updated Pictorial Review of Selected Complications

Imaging of the postoperative spine requires the identification of several critical points by the radiologist to be written in the medical report: condition of the underlying cortical and cancellous bone, intervertebral disc, and musculoskeletal tissues; location and integrity of surgical implants; e...

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Autores principales: Corona-Cedillo, Roberto, Saavedra-Navarrete, Melanie-Tessa, Espinoza-Garcia, Juan-Jose, Mendoza-Aguilar, Alexela-Nerey, Ternovoy, Sergey K., Roldan-Valadez, Ernesto
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8154286/
https://www.ncbi.nlm.nih.gov/pubmed/34113681
http://dx.doi.org/10.1155/2021/9940001
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author Corona-Cedillo, Roberto
Saavedra-Navarrete, Melanie-Tessa
Espinoza-Garcia, Juan-Jose
Mendoza-Aguilar, Alexela-Nerey
Ternovoy, Sergey K.
Roldan-Valadez, Ernesto
author_facet Corona-Cedillo, Roberto
Saavedra-Navarrete, Melanie-Tessa
Espinoza-Garcia, Juan-Jose
Mendoza-Aguilar, Alexela-Nerey
Ternovoy, Sergey K.
Roldan-Valadez, Ernesto
author_sort Corona-Cedillo, Roberto
collection PubMed
description Imaging of the postoperative spine requires the identification of several critical points by the radiologist to be written in the medical report: condition of the underlying cortical and cancellous bone, intervertebral disc, and musculoskeletal tissues; location and integrity of surgical implants; evaluation of the success of decompression procedures; delineation of fusion status; and identification of complications. This article presents a pictorial narrative review of the most common findings observed in noninstrumented and instrumented postoperative spines. Complications in the noninstrumented spine were grouped in early (hematomas, pseudomeningocele, and postoperative spine infection) and late findings (arachnoiditis, radiculitis, recurrent disc herniation, spinal stenosis, and textiloma). Complications in the instrumented spine were also sorted in early (hardware fractures) and late findings (adjacent segment disease, hardware loosening, and implant migration). This review also includes a short description of the most used diagnostic techniques in postoperative spine imaging: plain radiography, ultrasound (US), computed tomography (CT), magnetic resonance (MR), and nuclear medicine. Imaging of the postoperative spine remained a challenging task in the early identification of complications and abnormal healing process. It is crucial to consider the advantages and disadvantages of the imaging modalities to choose those that provide more accurate spinal status information during the follow-up. Our review is directed to all health professionals dealing with the assessment and care of the postoperative spine.
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spelling pubmed-81542862021-06-09 Imaging Assessment of the Postoperative Spine: An Updated Pictorial Review of Selected Complications Corona-Cedillo, Roberto Saavedra-Navarrete, Melanie-Tessa Espinoza-Garcia, Juan-Jose Mendoza-Aguilar, Alexela-Nerey Ternovoy, Sergey K. Roldan-Valadez, Ernesto Biomed Res Int Review Article Imaging of the postoperative spine requires the identification of several critical points by the radiologist to be written in the medical report: condition of the underlying cortical and cancellous bone, intervertebral disc, and musculoskeletal tissues; location and integrity of surgical implants; evaluation of the success of decompression procedures; delineation of fusion status; and identification of complications. This article presents a pictorial narrative review of the most common findings observed in noninstrumented and instrumented postoperative spines. Complications in the noninstrumented spine were grouped in early (hematomas, pseudomeningocele, and postoperative spine infection) and late findings (arachnoiditis, radiculitis, recurrent disc herniation, spinal stenosis, and textiloma). Complications in the instrumented spine were also sorted in early (hardware fractures) and late findings (adjacent segment disease, hardware loosening, and implant migration). This review also includes a short description of the most used diagnostic techniques in postoperative spine imaging: plain radiography, ultrasound (US), computed tomography (CT), magnetic resonance (MR), and nuclear medicine. Imaging of the postoperative spine remained a challenging task in the early identification of complications and abnormal healing process. It is crucial to consider the advantages and disadvantages of the imaging modalities to choose those that provide more accurate spinal status information during the follow-up. Our review is directed to all health professionals dealing with the assessment and care of the postoperative spine. Hindawi 2021-05-18 /pmc/articles/PMC8154286/ /pubmed/34113681 http://dx.doi.org/10.1155/2021/9940001 Text en Copyright © 2021 Roberto Corona-Cedillo et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review Article
Corona-Cedillo, Roberto
Saavedra-Navarrete, Melanie-Tessa
Espinoza-Garcia, Juan-Jose
Mendoza-Aguilar, Alexela-Nerey
Ternovoy, Sergey K.
Roldan-Valadez, Ernesto
Imaging Assessment of the Postoperative Spine: An Updated Pictorial Review of Selected Complications
title Imaging Assessment of the Postoperative Spine: An Updated Pictorial Review of Selected Complications
title_full Imaging Assessment of the Postoperative Spine: An Updated Pictorial Review of Selected Complications
title_fullStr Imaging Assessment of the Postoperative Spine: An Updated Pictorial Review of Selected Complications
title_full_unstemmed Imaging Assessment of the Postoperative Spine: An Updated Pictorial Review of Selected Complications
title_short Imaging Assessment of the Postoperative Spine: An Updated Pictorial Review of Selected Complications
title_sort imaging assessment of the postoperative spine: an updated pictorial review of selected complications
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8154286/
https://www.ncbi.nlm.nih.gov/pubmed/34113681
http://dx.doi.org/10.1155/2021/9940001
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