Eisenmenger Laura, Clark Aaron J, Shah Vinil N
University of Wisconsin School of Medicine and Public Health, 600 Highland Avenue, Madison, WI 53792, USA.
University of California, San Francisco, 400 Parnassus Avenue, Third Floor, San Francisco, CA 94143, USA.
Radiol Clin North Am. 2019 Mar;57(2):415-438. doi: 10.1016/j.rcl.2018.10.003.
Imaging of the postoperative spine is commonly obtained but is often challenging to interpret. Accurate and clinically relevant interpretation requires a strong understanding of the preoperative spinal pathologic condition, the surgical procedure performed, and the expected imaging appearance of postoperative changes. This article reviews common surgical approaches to the degenerative spine, the most appropriate imaging modalities to use, how to optimize imaging protocols, and how to interpret those images. The reader will therefore possess the tools required to effectively assess postoperative spine imaging, identify early and late complications, and provide the surgeon with relevant information to guide patient management.
术后脊柱成像通常会进行,但解读往往具有挑战性。准确且与临床相关的解读需要对术前脊柱病理状况、所实施的手术过程以及术后改变的预期成像表现有深入理解。本文回顾了退行性脊柱的常见手术方法、最适宜使用的成像模态、如何优化成像方案以及如何解读这些图像。因此,读者将掌握有效评估术后脊柱成像、识别早期和晚期并发症并为外科医生提供相关信息以指导患者管理所需的工具。