Obray Rick W, Filice Ross W, Beall Douglas P
Department of Radiology, Johns Hopkins Hospital, 600 North Wolfe Street, Baltimore, MD 21283, USA.
Magn Reson Imaging Clin N Am. 2007 May;15(2):257-71, vii. doi: 10.1016/j.mric.2007.05.001.
Percutaneous spine intervention, a wide range of invasive spine procedures performed through a puncture hole or through a small incision not requiring soft tissue closure and with few or no skin sutures or staples, is rapidly emerging as an effective alternative to open surgery. This article describes many of the minimally invasive osseous, intervertebral disk, and spinal nerve interventions currently being performed, including both well-established procedures and procedures developed recently. A general introduction to these types of procedures is provided, along with the characteristic pre- and postprocedural MR imaging appearance related to these techniques. The article also discusses reported and theoretical complications that may arise and their respective MR imaging appearances.
经皮脊柱介入治疗是一系列通过穿刺孔或小切口进行的侵入性脊柱手术,不需要缝合软组织,几乎不需要或完全不需要皮肤缝线或吻合钉,正迅速成为开放手术的有效替代方案。本文介绍了目前正在开展的许多微创骨、椎间盘和脊神经介入治疗,包括成熟的手术和最近开发的手术。文中对这些手术类型进行了总体介绍,并阐述了与这些技术相关的术前和术后磁共振成像(MR)特征表现。本文还讨论了可能出现的已报道和理论上的并发症及其各自的MR成像表现。