Increased Sacroiliac Joint Uptake after Lumbar Fusion and/or Laminectomy
| Autor: | Guillermo F. Carrera, Sanford J. Larson, A T Isitman, Glenn Meyer, Çetin Önsel, Collier Bd, Robert S. Hellman, Krasnow Az, K.M. Kir |
|---|---|
| Rok vydání: | 1992 |
| Předmět: |
Adult
Male musculoskeletal diseases medicine.medical_specialty medicine.medical_treatment Technetium Tc 99m Medronate Malignancy Lumbar medicine Humans Radiology Nuclear Medicine and imaging Aged Retrospective Studies Aged 80 and over Tomography Emission-Computed Single-Photon Sacroiliac joint medicine.diagnostic_test business.industry Laminectomy Sacroiliitis Sacroiliac Joint General Medicine Middle Aged medicine.disease Low back pain Spinal Fusion medicine.anatomical_structure Bone scintigraphy Back Pain Spinal fusion Female Radiology medicine.symptom business |
| Zdroj: | Clinical Nuclear Medicine. 17:283-287 |
| ISSN: | 0363-9762 |
| Popis: | Of 753 adult patients undergoing SPECT and planar bone scintigraphy for the evaluation of low back pain, 43 (6%) showed either unilateral or bilateral increased sacroiliac joint (SIJ) uptake. Five of the 58 abnormal joints were only identified with SPECT (9%), whereas 20 of the 58 abnormal joints were much more convincingly demonstrated by SPECT (34%). Fifteen of the 43 patients with increased SIJ uptake had undergone prior lumbar laminectomy and/or spinal fusion. Such spinal surgery can increase impact loading on the SIJ, leading to mechanical overload and sacroiliitis. Degenerative joint disease, trauma, or other benign pathology accounted for the remaining patients with increased SIJ uptake. The authors conclude that for patients with a history of lumbar spinal fusion and/or laminectomy, increased SIJ uptake usually is caused by altered spinal mechanics rather than malignancy or infection. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|