Gadolinium enhancement of vertebral endplates following lumbar disc surgery.

Details

Serval ID
serval:BIB_A338E5C5F99D
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Gadolinium enhancement of vertebral endplates following lumbar disc surgery.
Journal
Neuroradiology
Author(s)
Grand C.M., Bank W.O., Balériaux D., Matos C., Levivier M., Brotchi J.
ISSN
0028-3940 (Print)
ISSN-L
0028-3940
Publication state
Published
Issued date
1993
Peer-reviewed
Oui
Volume
35
Number
7
Pages
503-505
Language
english
Notes
Publication types: Journal Article
Publication Status: ppublish
Abstract
Gadolinium enhancement may be normal in the vertebral endplates adjacent to previously operated intervertebral discs. To determine the frequency of this finding and to differentiate this normal healing process from early lesions due to focal infection, we studied 135 patients who had undergone surgery for herniated lumbar disc, and compared them with 249 unoperated patients with radicular symptoms and 15 with known spondylodiscitis. Hypointense foci which enhanced with gadolinium were identified in the endplates of 25 (18.5%) of the operated patients, 9 of whom required a second operation for recurrent disc herniation, at which time the absence of infection was confirmed. Gadolinium enhancement within the endplates adjacent to the operated disc occurs during normal healing after surgery. Care should be taken before invoking a diagnosis of focal infection or secondary spondylodiscitis.
Keywords
Adult, Aged, Aged, 80 and over, Bone Marrow/pathology, Contrast Media, Diagnosis, Differential, Female, Gadolinium DTPA, Humans, Intervertebral Disc Displacement/diagnosis, Intervertebral Disc Displacement/surgery, Lumbar Vertebrae/pathology, Lumbar Vertebrae/surgery, Magnetic Resonance Imaging, Male, Middle Aged, Organometallic Compounds/diagnostic use, Pentetic Acid/analogs & derivatives, Pentetic Acid/diagnostic use, Postoperative Complications/diagnosis, Postoperative Complications/surgery, Reoperation, Retrospective Studies, Surgical Wound Infection/diagnosis, Surgical Wound Infection/surgery
Pubmed
Web of science
Create date
20/01/2008 17:35
Last modification date
20/08/2019 15:08
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