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The role of early postoperative CT scan following surgery for herniated lumbar disc

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Summary

40 patients underwent lumbosacral microdiscectomy in a 12 months period covering the years 1988–1989 in our center. For the purpose of the present study, we considered the 30 cases who underwent CT control of the operated interspaces and of the adjacent vertebral endplates. This was routinely carried out on the 3rd postoperative day. The present study failed to show correlations between early post-operative CT data and subsequent clinical results in this unselected series of patients. In fact an image suggesting persistent disc herniation was as a rule observed in spite of satisfactory clinical results, and other CT findings that have been considered of clinical significance, such as intraspinal air and low attenuation of disc space, were commonly observed in patients with an uncomplicated postoperative course.

The present study suggests that early post-operative CT appears to be of no value in the management of potential early complications of low-back surgery.

The introduction of MRI appears to offer other possibilities in the evaluation and management of failed back surgery syndrome (FBSS).

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References

  1. Braun IF, Lin JP, Beniamin MV, Kricheff II (1984) Computed tomography of the asymptomatic postsurgical lumbar spine, analysis of the physiological scar. AJR 142: 149–152

    PubMed  Google Scholar 

  2. Braun IF, Hoffman JC, Davis PC, Dandman JA, Tindal GT (1985) Contrast enhancement in CT differentiation between recurrent disc heriation and postoperative scare; prospective study. AJNR 6: 607–612

    Google Scholar 

  3. Braun BM, Bendell JE, Frank E (1986) Contrast enhanced computed tomography scanning of the postoperative spine. Surg Neurol 25: 351–356

    PubMed  Google Scholar 

  4. Fager CA (1986) Lumbar microdiscectomy. A contrary opinion. Clin Neurosurg 33: 419–456

    PubMed  Google Scholar 

  5. Hochhauser L, Kieffer SA, Cacayorin ED (1988) Recurrent postdiscectomy low back pain; MR-surgical correlation. AJR 151: 755–760

    PubMed  Google Scholar 

  6. Kopecky KK, Gilmor RL, Scott JA, Edwards MK (1985) Pitfalls of computed tomography in diagnosis of discitis. Neuroradiology 27: 57–66

    PubMed  Google Scholar 

  7. Lardé D, Mathieu D, Frija J, Gaston A, Vasile N (1982) Vertebral osteomyelitis disc hypodensity on CT. AJR 139: 963–967

    PubMed  Google Scholar 

  8. Maravilla KR, Lesh P, Weinreb JC, Salvy DK, Mooney V (1985) Magnetic resonance imaging of the lumbar spine with CT correlation. AJNR 6: 237–245

    PubMed  Google Scholar 

  9. Modic MT, Pavliceck W, Weinstein MA, Landman JA (1984) Magnetic resonanance imaging of intervertebral disc disease. Radiology 152: 103–111

    PubMed  Google Scholar 

  10. Montaldi S, Frankhauser M, Schnyder P, De Tribolet N (1988) Computed tomography of the postoperative intervertebral disc and lumbar spinal canal; investigation of twenty-five patients after successful operation for lumbar disc herniation. Neurosurgery 20: 1014–1022

    Google Scholar 

  11. Scell GR, Modesti LM, Cacayorin ED (1987) Diagnostic value of computed tomography in recurrent pain after discectomy. Neurosurgery 20: 302–309

    PubMed  Google Scholar 

  12. Schubiger O, Valavanis A (1982) CT differentiation between recurrent disc herniation and post-operative scar formation: the value of contrast enhancement. Neuroradiology 22: 251–254

    PubMed  Google Scholar 

  13. Schubiger O, Valavanis A (1983) Post-operative lumbar CT; technique results and indications. AJNR 4: 595–597

    PubMed  Google Scholar 

  14. Teplick JG, Haskin ME (1982) CT of the post-operative lumbar spine. AJNR 4: 1053–1058

    Google Scholar 

  15. Teplick JG, Haskin ME (1984) Intravenous contrast-enhanced CT of the post-operative lumbar spine; improved identification of recurrent disc herniation, scar, arachnoiditis and discitis. AJR 143: 845–855

    PubMed  Google Scholar 

  16. Weir BKA (1979) Prospective study of 100 lumbosacral discectomies. J Neurosurg 50:283–289

    PubMed  Google Scholar 

  17. Weiss T, Treisch J, Kazner E, Kholer D, Collman H, Clausen C (1986) CT of post-operative lumbar spine; the value of intravenous contrast. Neuroradiology 28: 241–245

    PubMed  Google Scholar 

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Authors and Affiliations

  1. Sections of Neurosurgery and Diagnostic Radiology, 2nd University of Rome “Tor Vergata” and Clinica Nuova Latina, Rome, Italy

    A. Spallone, V. Martino & R. Floris

Authors
  1. A. Spallone
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  2. V. Martino
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  3. R. Floris
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Spallone, A., Martino, V. & Floris, R. The role of early postoperative CT scan following surgery for herniated lumbar disc. Acta neurochir 123, 52–56 (1993). https://doi.org/10.1007/BF01476286

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