Acute vertebral fracture after spinal fusion: a case report illustrating the added value of single-source dual-energy computed tomography to magnetic resonance imaging in a patient with spinal Instrumentation
| Autor: | Matthias Pumberger, Michael Putzier, K. G. Hermann, Michael Fuchs, Torsten Diekhoff |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Edema Fractures Compression medicine Humans Radiology Nuclear Medicine and imaging Aged 80 and over Lumbar Vertebrae Spinal instrumentation medicine.diagnostic_test business.industry Vertebral compression fracture Magnetic resonance imaging Dual-Energy Computed Tomography medicine.disease Bone marrow edema Magnetic Resonance Imaging Spinal Fusion 030220 oncology & carcinogenesis Spinal fusion Orthopedic surgery Spinal Fractures Female Radiology medicine.symptom Tomography X-Ray Computed business |
| Zdroj: | Skeletal Radiology. 45:1303-1306 |
| ISSN: | 1432-2161 0364-2348 |
| Popis: | Magnetic resonance imaging (MRI) is degraded by metal-implant-induced artifacts when used for the diagnostic assessment of vertebral compression fractures in patients with instrumented spinal fusion. Dual-energy computed tomography (DECT) offers a promising supplementary imaging tool in these patients. This case report describes an 85-year-old woman who presented with a suspected acute vertebral fracture after long posterior lumbar interbody fusion. This is the first report of a vertebral fracture that showed bone marrow edema on DECT; however, edema was missed by an MRI STIR sequence owing to metal artifacts. Bone marrow assessment using DECT is less susceptible to metal artifacts than MRI, resulting in improved visualization of vertebral edema in the vicinity of fused vertebral bodies. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full text from SpringerLink