E³ 920a – The treated spine and joints, A-246 A. Imaging of the postoperative spine (P.N.M. Tyrrell)
A short preview of lecture E³ 920a’ The treated spine and joints’, from the session A-246 ‘A. Imaging of the postoperative spine’ at ECR 2014, given by P.N.M. Tyrrell from Oswestry, United Kingdom.
Saturday, March 8, 10:30 – 12:00 / Room A
Spinal surgery is most frequently performed to decompress (disc herniation, stenosis, malignant infiltration), fuse and stabilise (particularly following trauma or infiltrative destructive processes) and correct deformity. Often, there may be a combination of these procedures at one operation. Surgical instrumentation or bone graft is sometimes employed. Patients may present themselves with symptoms early or late following the procedure. This interactive session seeks to address the variety of surgical procedures undertaken and subsequently imaged post-operatively because of symptoms. The session aims to help one to understand and become familiar with the expected post-operative imaging appearances related to the surgical procedure, learn about abnormal pathological features as a cause of symptoms in the acute and more chronic situation and explore the diagnosis and differential diagnosis. This may include post-operative fibrosis versus recurrent disc herniation versus post-operative infection. Failure of fusion due to failure of instrumentation or inadequate take of bone graft can give rise to pseudoarthrosis. Recurrent stenotic symptoms may relate to an inadequate decompression, recurrent disc herniation, post-operative haematoma, extension of a malignant process or ischaemic damage.