Computed tomography and myelography of the postoperative lumbar spine

J. D. Meyer, Richard E Latchaw, H. M. Roppolo, K. Ghoshhajra, Z. L. Deeb

Research output: Contribution to journalArticlepeer-review

10 Scopus citations

Abstract

Postoperative myelographic changes in the thecal sac, epidural tissues, and bony canal, as well as nerve roots, may be difficult to interpret. A series of 32 postoperative patients, all of whom had a metrizamide myelogram and subsequent lumbar computed tomogram, was reviewed to examine the ability of computed tomography to recognize abnormalities when the myelogram is equivocal or uninterpretable. Criteria to distinguish recurrent herniated disk from postoperative changes are presented, including the demonstration of mass densities similar to and in continuity with the intervertebral disk. In 12 reoperated cases, five recurrent herniated disks and two new herniated disks were diagnosed and confirmed. In 20 nonreoperated cases, no recurrent herniated disks were identified, although two new herniated disks were found at levels not believed clinically significant. Computed tomography after metrizamide myelography appears to be a reliable technique for distinguishing abnormalities in the postoperative spine.

Original languageEnglish (US)
Pages (from-to)223-228
Number of pages6
JournalAmerican Journal of Neuroradiology
Volume3
Issue number3
StatePublished - 1982
Externally publishedYes

ASJC Scopus subject areas

  • Clinical Neurology
  • Radiology Nuclear Medicine and imaging
  • Radiological and Ultrasound Technology

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