Index

NOTE Page numbers in bold face type refer to Figures or Tables. Abscess, epidural evaluating, 159 formation, 65-66 Acute transverse myelitis (ATM) clinical presentation, 69 description, 68-69 imaging studies, 69 management, 69-70 Adhesions, lyses, 176 Adolescents and spondylolysis, 55-56 Aged patients. See Elderly patients. Aging fatty bone marrow infiltration, 30 herniated discs, 34 water loss and height, 7 Amyotrophic lateral sclerosis (ALS), ruling out cervical spondylotic myelopathy, 42...

Types Of Spinal Procedures

Cages Types Spine

This chapter will deal with postoperative imaging in patients with degenerative disc disease, the most frequent spine pathology requiring surgery. There are several main categories of surgical procedures for treating degenerative lumbar spine conditions 2. Laminectomy and partial facetectomy to relieve central, lateral, subarticular, or foraminal stenosis 3. Fusion procedures posterolateral, posterior, or interbody (Figure 17-1) 4. Disc replacement surgery (Figure 17-2) 5. Fracture reduction...

Figure 422

MRI of the lumbosacral spine. (A) Sagittal T1WI showing the dural sac severely compressed and narrowed from L4 downward. Note that it is pushed away from the spino-laminar line and the vertebral bodies by an abundant high-intensity fatty tissue. (B) On the axial cut the compressed dural sac (low-intensity signal) is of Y-shaped form. tion. Not infrequently epidural lipomatosis is discovered as an incidental finding on imaging studies and does not merit special attention. In symptomatic patients...

Figure 122

Sagittal reformatted CT showing thickened trabeculae within the vertebral bodies (arrows). Courtesy Dr. H. Dorfman. bone pain or symptomatic spinal stenosis should be started on anti-pagetic therapy. Several classes of drugs are presently available for the treatment of Paget's disease. The bisphosphonates have been used for quite some time with positive results. These drugs can eliminate symptoms and suppress disease activity for an extended period of time. Alendronate (Fosamax) and Risedronate...

Postinfectious Reactive Arthropathy

Up to 40 of patients with ulcerative colitis and Crohn's disease develop enteropathic arthritis and spondyloarthropathy that may include sacroiliac involvement. The findings in X-rays and CT and MRI scans may be similar or identical to those of AS. The term postinfectious reactive arthritis refers to a peripheral, nonseptic arthritis that develops within a month of an infection somewhere else in the body. All the cultures that are obtained from the affected joints are negative. The arthropathy...

Info

Medial branch (MB) nerve block, 169 overview, 166 sacroiliac joint block, 168 selective spinal nerve block, 168-169 Injections, therapeutic annuloplasty, 176 caudal epidural steroid, 172-173 interlaminar epidural steroid, 172 intradiscal electrothermal therapy (IDET), 175-176 lyses of adhesions, 176 overview, 170-171 percutaneous disc decompression, 177 RF neurotomy, 175 selective spinal serve sleeve steroid, 174 spinal cord stimulation, 177-178 transforaminal epidural steroid, 173-174 Z joint...