ROLE OF MRIIN FOLLOW UP AFTER SURGERY OF THE SPINE
Ayman Ahmad Abd EI-Aziz EI-Mesallamy;
Abstract
Post-operative back pain and leg radiculopathy are non specific presentations of recurrent symptoms after back surgery in what is called failed back surgery syndrome (FBSS). The proper diagnosis of the causes of symptoms recurrence is very important and different methods are used for it.
The most common causes of (FBSS) include: epidural fibrosis, recurrent disc herniation, lateral stenosis, arachnoiditis and pseudomeningocoe!e. MR imaging plays a vital role in the evaluation of these patients. The anatomic information provided by this imaging study together with the patients clinical presentation allow the choice of the proper surgical procedure if indicated.
Although clinical assessment of the patients presenting with (FBSS) is non specific. The clinical presentation and time of appearance of recurrent symptoms may be helpful in some cases to reach accurate diagnosis as in the following :
• In cases of early and persistent post operative radicular pain
within the first two weeks, post operative haematoma at the site of surgery can be suspected. MRI can diagnose the condition at this stage accurately due to its excellent tissue characterization.
• In cases of post operative infection specially discitis the clinical findings include: severe recurrent back pain after relief of the initial symptoms
The most common causes of (FBSS) include: epidural fibrosis, recurrent disc herniation, lateral stenosis, arachnoiditis and pseudomeningocoe!e. MR imaging plays a vital role in the evaluation of these patients. The anatomic information provided by this imaging study together with the patients clinical presentation allow the choice of the proper surgical procedure if indicated.
Although clinical assessment of the patients presenting with (FBSS) is non specific. The clinical presentation and time of appearance of recurrent symptoms may be helpful in some cases to reach accurate diagnosis as in the following :
• In cases of early and persistent post operative radicular pain
within the first two weeks, post operative haematoma at the site of surgery can be suspected. MRI can diagnose the condition at this stage accurately due to its excellent tissue characterization.
• In cases of post operative infection specially discitis the clinical findings include: severe recurrent back pain after relief of the initial symptoms
Other data
| Title | ROLE OF MRIIN FOLLOW UP AFTER SURGERY OF THE SPINE | Other Titles | دور الرنين المغناطيسى فى متابعة جراحة العمود الفقرى | Authors | Ayman Ahmad Abd EI-Aziz EI-Mesallamy | Issue Date | 2001 |
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