MRI of the Spine Jennifer Jones Radiology Manager Bristol Nuffield

Size: px
Start display at page:

Download "MRI of the Spine Jennifer Jones Radiology Manager Bristol Nuffield"

Transcription

1 MRI of the Spine Jennifer Jones Radiology Manager Bristol Nuffield

2 COILS Used to improve the diagnostic quality of scan images. Used in conjunction with the main bore of the magnet All scanners have different sets of coils for Imaging different body parts eg spine or head coil Body part to be examined Is placed within the coil or lies on top of the coil depending on the area under examination.

3 Patient orientation Does the examination allow for a change of orientation? Area to be scanned will always be at the centre of the bore of the magnet. Always feet first : Brain, Spine, Pelvis, Knees, ankle foot Always head first : Shoulder, Wrist dependent on patient

4 Tissue Contrast We generate contrast in the images by using an appropriate pulse sequence changing timing parameters. These make differences in energy exchange by the desired process predominate, we then minimise contributions from the other process(es) &/or chemicals T1w T2w Fat Suppression Water Suppression 4

5 Image (Tissue) Contrast We are not just stuck with information about how much hydrogen there is in each tissue, but also how easily each tissue can lose the extra energy we put in (and by which process) Radiographer can choose via manipulation of scan parameters which effects predominate on the image, hence we choose type of image contrast we want (image weighting) This makes MRI very useful, but quite hard to interpret - you need to know how each tissue should behave 5

6 T1 T1 & T2 T2 Some tissues (always) give the same signal regardless of weighting:- Cortical bone black Healthy Ligament black Healthy Tendon black Fat white (unless suppressed) 6

7 What are sequences? Pulse Sequences are the scans themselves Different types of pulse sequences are used to produce images which demonstrate different things Spin Echo T1, T2, PD Gradient Echo T1, T2, PD Fast Spin Echo T1, T2, PD STIR Fat Suppression FLAIR Fluid Suppression 7

8 Structures on T1,T2, FATSAT, STIR, FLAIR Fat Bright on T1, Bright on T2 Fluid Dark on T1, Bright on T2 Fluid No signal on FLAIR due to Inversion technique Fat No signal on FATSAT techniques (Chemical Sat technique) Fat No signal on STIR due to Inversion technique

9 T2 Fast Spin Echo Sagittal Demonstrates contrast between disc/osteophyte and the bright signal of CSF. Tumour, syrinx or plaque within cord will show high signal and contrast with normal tissue of the cord.

10 T1 Spin Echo/Fast Spin Echo Sagittal Anatomical overview of the spine. Can confirm a plaque or syrinx Additional info re pathology differing signal characteristics Same location as the Sag T2 so tissue characteristics can be compared with T2 series information? Fast Spin Echo/Spin Echo

11 Scan Sequences C.SPINE T2 SAGITTAL T1 SAGITTAL T2 AXIAL GE

12 T2 Sagittal C.SPINE Demonstrates contrast between disk/osteophyte and the bright signal of CSF Tumour, syrinx or plaque within cord with show high signal and contrast with normal tissue of the cord

13 T1 SAGITTAL C.SPINE Anatomical overview of the spine. Demonstrates any cord enlargement. Can confirm a plaque or syrinx Same slice position as the Sag T2 so tissue characteristics can be compared to T2 series.

14 Ax T2 Gradient Echo C.SPINE Axial plane to demonstrate any lateral lesions and the exiting nerve roots T2* weighting produces bright signal from CSF to contrast against any lesion FSE not used in Axial plane susceptible to flow artefacts generated on this pulse sequence (Only when metal fusion)

15 Anatomy Sagittal T2-weighted image, cervical spine. 1 Clivus 2 Atlanto-occipital ligament 3 Anterior longitudinal ligament 4 Anterior arch C1 5 Superior fascicle of cruciform ligament/tectorial membrane 6 Apical ligament 7 Transverse ligament (of cruciform ligament) 8 Posterior arch C1 9 Posterior occipital atlantal membrane 10 Nuchal ligament 11 Semispinalis capitis muscle 12 Cervical spinal cord 13 Posterior longitudinal ligament/anterior thecal sac Dura 14 Posterior dural sac 15 Interspinous ligament 16 Gray matter along central canal 17 Supraspinous ligament 18,Ligamentum flavum 19 Dental synchondrosis

16 Thoracic Spine T2 SAG T1 SAG T

17 Axial T2 FSE

18 LUMBAR SPINE T2 SAG T1 SAG

19 Normal Lumbar Spine Disc hydration Normal lumbar curvature Plenty of CSF and spinal space Uniform signal from bone marrow of vertebra Visible cord and equina (T12/L1)

20 Axial T2 Lumbar Spine View cauda equina nerve roots Kidneys at L2 level Aorta and IVC Facet joints Thecal sac Psoas muscles

21 Pathology for Lumbar Spine? Disc bulge Protrusion/extrusion Sequestered disc? Stenosis? Discitis Burst fracture Back/leg pain Sciatica? Cause Incontinence/bowel problems? Metastasis? Tumour? TB involvement Cauda equina syndrome

22 MRI - Degenerative Disc Disease Did you know? Age: % 98% 85-95%

23 MRI Herniated Disc Levels Did you know? L4-L5, L5-S1 L3-L4 L2-L3 2-3% L1-L2, T12-L % 5-8% 1%

24 Disc Disease -terminology Disc bulge -Annular fibres intact Disc protrusion -Localized bulging with damage of some annular fibres Disc extrusion -Extended bulge with loss of annular fibres, but disc remains intact Disc sequestration -Fragment of disc broken off from the nucleus pulposus, can move within the extra dural area

25

26 ERROR: undefined OFFENDING COMMAND: f ~ STACK:

Cervical spine radiographs. Spinal Imaging. Overview. Cervical spine - MRI. Cervical spine - MRI. Overview 09/05/2015

Cervical spine radiographs. Spinal Imaging. Overview. Cervical spine - MRI. Cervical spine - MRI. Overview 09/05/2015 Cervical spine radiographs Spinal Imaging Dr Sachit Shah Consultant Neuroradiologist Lysholm Department of Neuroradiology The National Hospital for Neurology & Neurosurgery Adapted from ML Richardson,

More information

Spine Anatomy and Spine General The purpose of the spine is to help us stand and sit straight, move, and provide protection to the spinal cord.

Spine Anatomy and Spine General The purpose of the spine is to help us stand and sit straight, move, and provide protection to the spinal cord. Spine Anatomy and Spine General The purpose of the spine is to help us stand and sit straight, move, and provide protection to the spinal cord. Normal List Kyphosis The human spine has 7 Cervical vertebra

More information

Anatomy and Terminology of the Spine. Bones of the Spine (Vertebrae)

Anatomy and Terminology of the Spine. Bones of the Spine (Vertebrae) Anatomy and Terminology of the Spine The spine, also called the spinal column, vertebral column or backbone, consists of bones, intervertebral discs, ligaments, and joints. In addition, the spine serves

More information

Imaging for Lumbar Degenerative Disc Disease

Imaging for Lumbar Degenerative Disc Disease Imaging for Lumbar Degenerative Disc Disease Muhammad A. Munir, MD Diplomat American Board of Anesthesiology and Pain Management Spectrum of Imaging Modalities Radiography, Fluoroscopy and techniques modified

More information

Cervical Spine Surgery. Orthopaedic Nursing Seminar. Dr Michelle Atkinson. Friday October 21 st 2011. Cervical Disc Herniation

Cervical Spine Surgery. Orthopaedic Nursing Seminar. Dr Michelle Atkinson. Friday October 21 st 2011. Cervical Disc Herniation Cervical Spine Surgery Dr Michelle Atkinson The Sydney and Dalcross Adventist Hospitals Orthopaedic Nursing Seminar Friday October 21 st 2011 Cervical disc herniation The most frequently treated surgical

More information

All About Herniated Discs Anatomy & Pathology

All About Herniated Discs Anatomy & Pathology All About Herniated Discs Anatomy & Pathology Conflict of Interest Disclosure DR. HABER CERTIFIES THAT, TO THE BEST OF HIS KNOWLEDGE, NO AFFILIATION OR RELATIONSHIP OF A FINANCIAL NATURE WITH A COMMERCIAL

More information

Upright Positional MRI of the Lumbar Spine. Clinical Radiology Volume 63, Issue 9, September 2008, Pages

Upright Positional MRI of the Lumbar Spine. Clinical Radiology Volume 63, Issue 9, September 2008, Pages Upright Positional MRI of the Lumbar Spine 1 Clinical Radiology Volume 63, Issue 9, September 2008, Pages 1035-1048 F. Alyas, D. Connell, A. Saifuddin The authors are from the Department of Radiology,

More information

UPPER LUMBAR DISC HERNIATION WITH CENTRAL AND FAR LATERAL STENOTIC CHANGES RESULTING IN ANTERIOR THIGH PAIN

UPPER LUMBAR DISC HERNIATION WITH CENTRAL AND FAR LATERAL STENOTIC CHANGES RESULTING IN ANTERIOR THIGH PAIN Cox Technic Case Report #60 sent 5/13/08 1 UPPER LUMBAR DISC HERNIATION WITH CENTRAL AND FAR LATERAL STENOTIC CHANGES RESULTING IN ANTERIOR THIGH PAIN History, Examination & Imaging Review: A 53-year-old

More information

Musculoskeletal MRI Technical Considerations

Musculoskeletal MRI Technical Considerations Musculoskeletal MRI Technical Considerations Garry E. Gold, M.D. Professor of Radiology, Bioengineering and Orthopaedic Surgery Stanford University Outline Joint Structure Image Contrast Protocols: 3.0T

More information

The sectional anatomy of vertebral column and CT\MRI. MENG Hai-wei

The sectional anatomy of vertebral column and CT\MRI. MENG Hai-wei The sectional anatomy of vertebral column and CT\MRI MENG Hai-wei Boundaries and divisions Consists of the spinal column and the structures around it. Superiorly: external occipital protuberance Inferiorly:

More information

Prevalence of annular tears and disc herniations on MR images of the cervical spine in symptom free volunteers

Prevalence of annular tears and disc herniations on MR images of the cervical spine in symptom free volunteers Prevalence of annular tears and disc herniations on MR images of the cervical spine in symptom free volunteers 1 European Journal of Radiology September 2005, 55, 409 414 C.W. Ernst, T.W. Stadnik, E. Peeters,

More information

BIOMECHANICS OF THE SPINE. Presented by: Shashwat Mishra

BIOMECHANICS OF THE SPINE. Presented by: Shashwat Mishra BIOMECHANICS OF THE SPINE Presented by: Shashwat Mishra What is biomechanics? In the context of the spine: Biomechanics is the study of the consequences of application of external force on the spine Motion

More information

BODY BODY PEDICLE PEDICLE TRANSVERSE TRANSVERSE PROCESS PROCESS

BODY BODY PEDICLE PEDICLE TRANSVERSE TRANSVERSE PROCESS PROCESS Learning Objective Radiology Anatomy of the Spine and Upper Extremity Identify anatomic structures of the spine and upper extremities on standard radiographic and cross-sectional images Timothy J. Mosher,

More information

ANATOMY OF THE SPINAL CORD AND SPINAL NERVES

ANATOMY OF THE SPINAL CORD AND SPINAL NERVES ANATOMY OF THE SPINAL CORD AND SPINAL NERVES SPINAL CORD (PART OF THE CENTRAL NERVOUS SYSTEM (CNS) ALONG WITH THE BRAIN) NERVOUS TISSUE TUBE FOUND INSIDE THE VERTEBRAL CANAL CONTAINS: BUNDLES OF FIBERS

More information

MRI SEQUENCES. 1 Gradient Echo Sequence

MRI SEQUENCES. 1 Gradient Echo Sequence 5 An MRI sequence is an ordered combination of RF and gradient pulses designed to acquire the data to form the image. In this chapter I will describe the basic gradient echo, spin echo and inversion recovery

More information

Lumbar Spine Anatomy. eorthopod.com 228 West Main St., Suite D Missoula, MT 59802-4345 Phone: 406-721-3072 Fax: 406-721-2619 info@eorthopod.

Lumbar Spine Anatomy. eorthopod.com 228 West Main St., Suite D Missoula, MT 59802-4345 Phone: 406-721-3072 Fax: 406-721-2619 info@eorthopod. A Patient s Guide to Lumbar Spine Anatomy 228 West Main St., Suite D Missoula, MT 59802-4345 Phone: 406-721-3072 Fax: 406-721-2619 info@eorthopod.com DISCLAIMER: The information in this booklet is compiled

More information

Post operative Spinal Imaging- A multimodality approach

Post operative Spinal Imaging- A multimodality approach Post operative Spinal Imaging- A multimodality approach UKRC June 2014 Dr Sajid Butt Consultant Radiology, RNOH Summary Common Spinal Surgeries Image Optimisation Spinal Instrumentation Clinical Scenarios

More information

A Patient s Guide to Diffuse Idiopathic Skeletal Hyperostosis (DISH)

A Patient s Guide to Diffuse Idiopathic Skeletal Hyperostosis (DISH) A Patient s Guide to Diffuse Idiopathic Skeletal Hyperostosis (DISH) Introduction Diffuse Idiopathic Skeletal Hyperostosis (DISH) is a phenomenon that more commonly affects older males. It is associated

More information

Vivian Gonzalez Gillian Lieberman, MD. January 2002. Lumbar Spine Trauma. Vivian Gonzalez, Harvard Medical School Year III Gillian Lieberman, MD

Vivian Gonzalez Gillian Lieberman, MD. January 2002. Lumbar Spine Trauma. Vivian Gonzalez, Harvard Medical School Year III Gillian Lieberman, MD January 2002 Lumbar Spine Trauma Vivian Gonzalez, Harvard Medical School Year III Agenda Anatomy and Biomechanics of Lumbar Spine Three-Column Concept Classification of Fractures Our Patient Imaging Modalities

More information

Anatomy of the Spine. Figure 1. (left) The spine has three natural curves that form an S-shape; strong muscles keep our spine in alignment.

Anatomy of the Spine. Figure 1. (left) The spine has three natural curves that form an S-shape; strong muscles keep our spine in alignment. 1 2 Anatomy of the Spine Overview The spine is made of 33 individual bony vertebrae stacked one on top of the other. This spinal column provides the main support for your body, allowing you to stand upright,

More information

Michael L. Eggleston, DC 3000 N. Market Ave. Ste C Fayetteville, AR 72703 Phone: 479-575-0105 Fax: 479-575-0205 eggleston_m@yahoo.com www.eggchiro.

Michael L. Eggleston, DC 3000 N. Market Ave. Ste C Fayetteville, AR 72703 Phone: 479-575-0105 Fax: 479-575-0205 eggleston_m@yahoo.com www.eggchiro. Michael L. Eggleston, DC 3000 N. Market Ave. Ste C Fayetteville, AR 72703 Phone: 479-575-0105 Fax: 479-575-0205 eggleston_m@yahoo.com www.eggchiro.com SELECTED OCCUPATIONAL HISTORY Clinic Director, Chiropractor,

More information

MAGNETOM Aera Combining Throughput and Highest Quality Spine Imaging in an Optimized Clinical Workflow

MAGNETOM Aera Combining Throughput and Highest Quality Spine Imaging in an Optimized Clinical Workflow Clinical Orthopedic Imaging MAGNETOM Aera Combining Throughput and Highest Quality Spine Imaging in an Optimized Clinical Workflow Johan Dehem, M.D. VZW Jan Yperman, Ieper, Belgium Cervical spine imaging

More information

Human Anatomy & Physiology

Human Anatomy & Physiology PowerPoint Lecture Slides prepared by Barbara Heard, Atlantic Cape Community College Ninth Edition Human Anatomy & Physiology C H A P T E R 7 The Skeleton: Part B Annie Leibovitz/Contact Press Images Vertebral

More information

MRI for Paediatric Surgeons

MRI for Paediatric Surgeons MRI for Paediatric Surgeons Starship David Perry Paediatric Radiologist Starship Children s Hospital CHILDREN S HEALTH What determines the brightness of a pixel in MRI? i.e. What determines the strength

More information

Thoracolumbar Burst Fracture: A New Type with Combined Injury Mechanisms a Case Report

Thoracolumbar Burst Fracture: A New Type with Combined Injury Mechanisms a Case Report Cronicon OPEN ACCESS NEUROLOGY Case Report Tarek A Aly* Thoracolumbar Burst Fracture: A New Type with Combined Injury Mechanisms a Case Report Department of orthopedic surgery, Tanta University School

More information

Age Changes in the Lumbar Spine

Age Changes in the Lumbar Spine Age Changes in the Lumbar Spine 1. Age changes in vertebrae & intervertebral discs 2. Age changes in facet joints 3. Spinal stenosis Acknowledgment: The slides are the work of Professor James Taylor &

More information

Evaluation and Treatment of Spine Fractures. Lara C. Portmann, MSN, ACNP-BC

Evaluation and Treatment of Spine Fractures. Lara C. Portmann, MSN, ACNP-BC Evaluation and Treatment of Spine Fractures Lara C. Portmann, MSN, ACNP-BC Nurse Practitioner, Neurosurgery, Trauma Services, Intermountain Medical Center; Salt Lake City, Utah Objectives: Identify the

More information

WHAT IS STENOSIS? DO I NEED SURGERY OR CAN POSTURAL THERPAY HELP?

WHAT IS STENOSIS? DO I NEED SURGERY OR CAN POSTURAL THERPAY HELP? WHAT IS STENOSIS? DO I NEED SURGERY OR CAN POSTURAL THERPAY HELP? Stenosis is a narrowing of the spinal canal. It usually occurs in the lower back (lumbar spine) or the neck (cervical spine) It occurs

More information

ACR MRI Accreditation Program: The Technologist s Role

ACR MRI Accreditation Program: The Technologist s Role ACR MRI Accreditation Program: The Technologist s Role Geoffrey D. Clarke, Ph.D. University of Texas Health Science Center at San Antonio Radiological Sciences Division Overview ACR MRI Accreditation Program

More information

Thoracic Spine Anatomy

Thoracic Spine Anatomy A Patient s Guide to Thoracic Spine Anatomy 228 West Main, Suite C Missoula, MT 59802 Phone: info@spineuniversity.com DISCLAIMER: The information in this booklet is compiled from a variety of sources.

More information

The FONAR Upright MRI

The FONAR Upright MRI Diagnostic Imaging Network Presents The FONAR Upright MRI The seat is attached to an MRI-compatible motorized bed that will translate in and out of the magnet, and move up and down Your patient can flex,

More information

Nomenclature and Standard Reporting Terminology of Intervertebral Disk Herniation

Nomenclature and Standard Reporting Terminology of Intervertebral Disk Herniation 167 Nomenclature and Standard Reporting Terminology of Intervertebral Disk Herniation Richard F. Costello, DO a, *, Douglas P. Beall, MD a,b MAGNETIC RESONANCE IMAGING CLINICS Magn Reson Imaging Clin N

More information

MAGNETIC RESONANCE MYELOGRAPHY

MAGNETIC RESONANCE MYELOGRAPHY MAGNETIC RESONANCE MYELOGRAPHY HUMERA AHSAN, M.D. F.C.P.S. DEPARTMENT OF RADIOLOGY & IMAGING AGA KHAN UNIVERSITY HOSPITAL Presentation material is for education purposes only. All rights reserved. 2004

More information

COX TECHNIC FLEXION-DISTRACTION CASE REPORT OF 35 YEAR OLD MALE C6-C7 CERVICAL POSTEROCENTRAL DISC PROTRUSION

COX TECHNIC FLEXION-DISTRACTION CASE REPORT OF 35 YEAR OLD MALE C6-C7 CERVICAL POSTEROCENTRAL DISC PROTRUSION COX TECHNIC FLEXION-DISTRACTION CASE REPORT OF 35 YEAR OLD MALE C6-C7 CERVICAL POSTEROCENTRAL DISC PROTRUSION Dr. Joel Dixon (B. APP Sci (Chiro) J.P, Certified Cox Practitioner) From Melbourne Spine Clinic

More information

Objectives. Axial Skeleton 2 APPENDICULAR SKELETON AXIAL SKELETON. Functions. Spine Supports Body

Objectives. Axial Skeleton 2 APPENDICULAR SKELETON AXIAL SKELETON. Functions. Spine Supports Body Objectives Axial Skeleton 2 Vertebral Column and Thorax 1. Identify the subdivisions of the skeleton as axial or appendicular 2. Explain how the spine supports the body. 3. Explain the changes on vertebrae

More information

A Patient s Guide to Diffuse Idiopathic Skeletal Hyperostosis (DISH)

A Patient s Guide to Diffuse Idiopathic Skeletal Hyperostosis (DISH) A Patient s Guide to Diffuse Idiopathic Skeletal Hyperostosis (DISH) 228 West Main, Suite C Missoula, MT 59802 Phone: info@spineuniversity.com DISCLAIMER: The information in this booklet is compiled from

More information

Cervical Spine: Postmortem Assessment of Accident Injuries Comparison of Radiographic, MR Imaging, Anatomic, and Pathologic Findings

Cervical Spine: Postmortem Assessment of Accident Injuries Comparison of Radiographic, MR Imaging, Anatomic, and Pathologic Findings Cervical Spine: Postmortem Assessment of Accident Injuries Comparison of Radiographic, MR Imaging, Anatomic, and Pathologic Findings 1 Radiology, November, 2001;221:340-346. Axel Stäbler, MD, Jurik Eck,

More information

Sciatica: Low back and Leg Pain Diagnosis and Treatment Options. Presented by Devesh Ramnath, MD Orthopaedic Associates Of Dallas Baylor Spine Center

Sciatica: Low back and Leg Pain Diagnosis and Treatment Options. Presented by Devesh Ramnath, MD Orthopaedic Associates Of Dallas Baylor Spine Center Sciatica: Low back and Leg Pain Diagnosis and Treatment Options Presented by Devesh Ramnath, MD Orthopaedic Associates Of Dallas Baylor Spine Center Sciatica Compression of the spinal nerves in the back

More information

Outline. MRI of the Knee. Imaging Details. MRI Pulse Sequences. Axial Images. MRI Acquisition Planes

Outline. MRI of the Knee. Imaging Details. MRI Pulse Sequences. Axial Images. MRI Acquisition Planes MRI of the Knee Jennifer Swart, M.D. Musculoskeletal Radiology South Texas Radiology Group Outline Coils, Patient Positioning Acquisition Parameters, Planes and Pulse Sequences Knee Arthrography Normal

More information

SPINE ANATOMY AND PROCEDURES. Tulsa Spine & Specialty Hospital 6901 S. Olympia Avenue Tulsa, Oklahoma 74132

SPINE ANATOMY AND PROCEDURES. Tulsa Spine & Specialty Hospital 6901 S. Olympia Avenue Tulsa, Oklahoma 74132 SPINE ANATOMY AND PROCEDURES Tulsa Spine & Specialty Hospital 6901 S. Olympia Avenue Tulsa, Oklahoma 74132 SPINE ANATOMY The spine consists of 33 bones called vertebrae. The top 7 are cervical, or neck

More information

If you or a loved one have suffered because of a negligent error during spinal surgery, you will be going through a difficult time.

If you or a loved one have suffered because of a negligent error during spinal surgery, you will be going through a difficult time. If you or a loved one have suffered because of a negligent error during spinal surgery, you will be going through a difficult time. You may be worried about your future, both in respect of finances and

More information

Image-guided Spine Procedures for Relief of Severe Lower Back Pain:

Image-guided Spine Procedures for Relief of Severe Lower Back Pain: Image-guided Spine Procedures for Relief of Severe Lower Back Pain: A Guide to Epidural Steroid Injection, Facet Joint Injection, and Selective Nerve Root Block. PETER H TAKEYAMA MD HENRY WANG MD PhD SVEN

More information

How to refer for an upright MRI scan a note for clinicians

How to refer for an upright MRI scan a note for clinicians How to refer for an upright MRI scan a note for clinicians Alan Breen 1, Melanie Jones 2, Andy Morris 3, Andy Pope 3, Ravi Ayer 3 1. Clinical Director for Special Imaging, 2. Superintendent MRI Radiographer,

More information

Degenerative Disk Disease of the Cervical Spine: Spectrum of Imaging Findings

Degenerative Disk Disease of the Cervical Spine: Spectrum of Imaging Findings Degenerative Disk Disease of the Cervical Spine: Spectrum of Imaging Findings Poster No.: P-0118 Congress: ESSR 2014 Type: Scientific Poster Authors: M. Tzalonikou, S. Yarmenitis, F. Laspas, G. Delimpasis,

More information

Posterior Lumbar Decompression for Spinal Stenosis

Posterior Lumbar Decompression for Spinal Stenosis Posterior Lumbar Decompression for Spinal Stenosis Spinal Unit Tel: 01473 702032 or 702097 Issue 5: August 2014 Review date: July 2017 Following your recent MRI scan and consultation with your spinal surgeon

More information

Instability concept. Symposium- Cervical Spine. Barcelona, February 2014

Instability concept. Symposium- Cervical Spine. Barcelona, February 2014 Instability concept Guillem Saló Bru, MD, Phd AOSpine Principles Symposium- Cervical Spine Orthopaedic Depatment. Spine Unit. Hospital del Mar. Barcelona. Associated Professor UAB Barcelona, February 2014

More information

POST-OPERATIVE SPINE IMAGING M.Muto Chief Neuroradiology Dept Cardarelli Hospital Naples ITALY

POST-OPERATIVE SPINE IMAGING M.Muto Chief Neuroradiology Dept Cardarelli Hospital Naples ITALY POST-OPERATIVE SPINE IMAGING M.Muto Chief Neuroradiology Dept Cardarelli Hospital Naples ITALY Postoperative spine imaging, either by surgery or by mini-invasive procedures, is a complex tool and depends

More information

Posterior Lumbar Decompression for Spinal Stenosis

Posterior Lumbar Decompression for Spinal Stenosis Posterior Lumbar Decompression for Spinal Stenosis Issue 6: March 2016 Review date: February 2019 Following your recent MRI scan and consultation with your spinal surgeon you have been diagnosed with

More information

MRI: Magnetic resonance imaging:

MRI: Magnetic resonance imaging: MRI: Magnetic resonance imaging: Like CT, MRI produces detailed cross sectional images of body regions. However the physical principles of image acquisition are different and very complicated. The following

More information

X Stop Spinal Stenosis Decompression

X Stop Spinal Stenosis Decompression X Stop Spinal Stenosis Decompression Am I a candidate for X Stop spinal surgery? You may be a candidate for the X Stop spinal surgery if you have primarily leg pain rather than mostly back pain and your

More information

MRI OF THE CERVICAL SPINE

MRI OF THE CERVICAL SPINE MRI OF THE CERVICAL SPINE Michael Wilczynski, DO FAOCR Diagnostic Radiology Department Chair Franciscan St James Healthcare Chicago, IL Donald Kim, DO Radiology Residency, St James Healthcare Abdominal

More information

Virtual 3D Model of the Lumbar Spine

Virtual 3D Model of the Lumbar Spine LSNA Virtual 3D Model of the Lumbar Spine Alberto Prats-Galino 1, Miguel Angel Reina 2, Marija Mavar Haramija 1, Anna Puigdellivol-Sánchez 1, Joan San Molina 3 and José Antonio De Andrés 4. 1 Laboratory

More information

Discogenic Low Backache A clinical and MRI correlative study A DISSERTATION SUBMITTED TO UNIVERSITY OF SEYCHELLES AMERICAN INSTITUTE OF MEDICINE

Discogenic Low Backache A clinical and MRI correlative study A DISSERTATION SUBMITTED TO UNIVERSITY OF SEYCHELLES AMERICAN INSTITUTE OF MEDICINE Discogenic Low Backache A clinical and MRI correlative study A DISSERTATION SUBMITTED TO UNIVERSITY OF SEYCHELLES AMERICAN INSTITUTE OF MEDICINE IN PARTIAL FULFILLMENT OF THE REGULATIONS FOR THE AWARD

More information

Hitting a Nerve: The Triggers of Sciatica. Bruce Tranmer MD FRCS FACS

Hitting a Nerve: The Triggers of Sciatica. Bruce Tranmer MD FRCS FACS Hitting a Nerve: The Triggers of Sciatica Bruce Tranmer MD FRCS FACS Disclosures I have no financial disclosures Objectives - Sciatica Historical Perspective What is Sciatica What can cause Sciatica Clinical

More information

Degenerative Changes of the Cervical Spine

Degenerative Changes of the Cervical Spine Anatomical Demonstration of Cervical Degeneration 1 Anatomical Demonstration: Degenerative Changes of the Cervical Spine 20 Slides of anatomical specimens, Xrays and MRIs By: William J. Ruch, D.C. Copyright

More information

Magnetic Resonance Imaging

Magnetic Resonance Imaging Magnetic Resonance Imaging North American Spine Society Public Education Series What Is Magnetic Resonance Imaging (MRI)? Magnetic resonance imaging (MRI) is a valuable diagnostic study that has been used

More information

TRU-SCAN MRI IN CLINICAL PRACTICE A RADIOLOGIST S PERSPECTIVE

TRU-SCAN MRI IN CLINICAL PRACTICE A RADIOLOGIST S PERSPECTIVE TRU-SCAN MRI IN CLINICAL PRACTICE A RADIOLOGIST S PERSPECTIVE By Manuel S. Rose, M.D. Founder, Rose Radiology Centers, Inc. Tru-Scan MRI is Rose Radiology s new multi-positional Stand-Up Open MRI manufactured

More information

Lumbar Herniated Disc

Lumbar Herniated Disc Lumbar Herniated Disc A Patient's Guide to Lumbar Herniated Disc Introduction Lower back problems can occur for many different reasons. The terms ruptured disc and slipped disc seem to be used more commonly

More information

.org. Fractures of the Thoracic and Lumbar Spine. Cause. Description

.org. Fractures of the Thoracic and Lumbar Spine. Cause. Description Fractures of the Thoracic and Lumbar Spine Page ( 1 ) Spinal fractures can vary widely in severity. While some fractures are very serious injuries that require emergency treatment, other fractures can

More information

Structure and Function of the Vertebral Column

Structure and Function of the Vertebral Column Structure and Function of the Vertebral Column 33 vertebral segments divided into 5 segments Cervical: 7 vertebrae Thoracic: 12 vertebrae Lumbar: 5 vertebrae Sacral: 5 vertebrae, fused in the adult Coccygeal:

More information

Magnetic Resonance Imaging

Magnetic Resonance Imaging Magnetic Resonance Imaging What are the uses of MRI? To begin, not only are there a variety of scanning methodologies available, but there are also a variety of MRI methodologies available which provide

More information

Lower Back Pain. Introduction. Anatomy

Lower Back Pain. Introduction. Anatomy Lower Back Pain Introduction Back pain is the number one problem facing the workforce in the United States today. To illustrate just how big a problem low back pain is, consider these facts: Low back pain

More information

Spine DJD Nomenclature. Sonia K Ghei, MD

Spine DJD Nomenclature. Sonia K Ghei, MD Spine DJD Nomenclature Sonia K Ghei, MD Recommendations of the Combined Task Forces of the North American Spine Society, American Society of Spine Radiology, and American Society of Neuroradiology http://www.asnr.org/spine_nomenclature/

More information

Do you have Back Pain? Associated with:

Do you have Back Pain? Associated with: Do you have Back Pain? Associated with: Herniated Discs? Protruding Discs? Degenerative Disk Disease? Posterior Facet Syndrome? Sciatica? You may be a candidate for Decompression Therapy The Dynatronics

More information

L3 L4, L4 L5 Severe Spinal Stenosis Responds To Cox Technic

L3 L4, L4 L5 Severe Spinal Stenosis Responds To Cox Technic Cox Technic Case Report #104 published at www.coxtechnic.com ( sent February 2012 ) 1 RANDY L. REIN, D.C. 2720 E. PALMDALE BLVD., STE. 123 Telephone (661) 265-0505 PALMDALE, CA 93550 Facsimile (661) 265-8002

More information

Neuraxial Blockade Anatomy and Landmarks

Neuraxial Blockade Anatomy and Landmarks Neuraxial Blockade Anatomy and Landmarks Knowledge of anatomy and landmarks are essential to the safe administration of neuraxial blockade. The anesthesia provider should know intimately what structures

More information

.org. Herniated Disk in the Lower Back. Anatomy. Description

.org. Herniated Disk in the Lower Back. Anatomy. Description Herniated Disk in the Lower Back Page ( 1 ) Sometimes called a slipped or ruptured disk, a herniated disk most often occurs in your lower back. It is one of the most common causes of low back pain, as

More information

Minimally Invasive Spine Surgery For Your Patients

Minimally Invasive Spine Surgery For Your Patients Minimally Invasive Spine Surgery For Your Patients Lukas P. Zebala, M.D. Assistant Professor Orthopaedic and Neurological Spine Surgery Department of Orthopaedic Surgery Washington University School of

More information

Spinal Pain: Diagnosis and Interventional Procedures

Spinal Pain: Diagnosis and Interventional Procedures Spinal Pain: Diagnosis and Interventional Procedures Dr Ilias Drivas MBBS FRANZCR Diagnostic and Interventional Radiologist Alfred Imaging Group Staff Specialist Royal Prince Alfred Hospital Overview Go

More information

Patient Guide to Neck Surgery

Patient Guide to Neck Surgery The following is a sampling of products offered by Zimmer Spine for use in Anterior Cervical Fusion procedures. Patient Guide to Neck Surgery Anterior Cervical Fusion Trinica Select With the Trinica and

More information

Pain Management Top Diagnosis Codes (Crosswalk)

Pain Management Top Diagnosis Codes (Crosswalk) Pain Management Top s (Crosswalk) 274.00 Gout arthropathy, M1000 Idiopathic gout, unspecified site unspecified M10011 Idiopathic gout, right shoulder M10012 Idiopathic gout, left shoulder M10019 Idiopathic

More information

Diagnostic Imaging Exams

Diagnostic Imaging Exams Guide for Chiropractors Diagnostic Imaging Exams CREATED FOR OUR CHIROPRACTIC PARTNERS This document has been prepared by the specialized, board-certified radiologists who interpret patient exams for Center

More information

GE 3.0T NPW,TRF,FAST,F R NPW,TRF,FAST,F R

GE 3.0T NPW,TRF,FAST,F R NPW,TRF,FAST,F R GE 3.0T 3.0T WRIST Invivo 8CH Wrist Coil Sequence Ax T2 Cor PD Cor PDFS Cor T1 Cor PD (Small FOV) FOV (mm) 80 80 80 80 40 Matrix 384x224 384x256 320x256 384x320 320x192 Phase Direction RL RL RL RL RL #

More information

Diagnostic Capability of Low-versus High-field MRI for Lumbar Degenerative Disease SP13

Diagnostic Capability of Low-versus High-field MRI for Lumbar Degenerative Disease SP13 Diagnostic Capability of Low-versus High-field MRI for Lumbar Degenerative Disease SP13 Ryan K.L.Lee, James F. Griffith, Alex W.H.Ng, Eshter H.Y. Hung, Joyce H.Y. Leung Email: leekalok2909@yahoo.com.hk

More information

POSTERIOR LUMBAR INTERBODY FUSION. PLIF with Instrumentation. Basic Anatomical Landmarks: Posterior View Lumbar Spine

POSTERIOR LUMBAR INTERBODY FUSION. PLIF with Instrumentation. Basic Anatomical Landmarks: Posterior View Lumbar Spine POSTERIOR LUMBAR INTERBODY FUSION PLIF with Instrumentation Posterior In human anatomy, referring to the back surface of the body or the position of one structure relative to another Lumbar Relating to

More information

ABNORMALITIES IN DISC MORPHOLOGY

ABNORMALITIES IN DISC MORPHOLOGY ABNORMALITIES IN DISC MORPHOLOGY The terminology for disc abnormalities is very CONFUSING and INCONSISTENT in the literature. To address the remaining needs and in hopes of securing endorsement sufficient

More information

The Vertebral Column

The Vertebral Column The Vertebral Column Bởi: OpenStaxCollege The vertebral column is also known as the spinal column or spine ([link]). It consists of a sequence of vertebrae (singular = vertebra), each of which is separated

More information

) ( ) ( Cervical Vertebrae (7) neck region. Thoracic Vertebrae (12) Posterior to thoracic cavity. Lumbar Vertebrae (5) Supports the lower back

) ( ) ( Cervical Vertebrae (7) neck region. Thoracic Vertebrae (12) Posterior to thoracic cavity. Lumbar Vertebrae (5) Supports the lower back ) ( ) ( Vertebral Column Forms skeleton of back and main part of axial skeleton. 33 vertebrae articulating at anterior and posterior intervertebral joints. Vertebrae has 5 regions, but only 24 are movable.

More information

Lumbar Nerve Root Decompression for Foraminal Stenosis

Lumbar Nerve Root Decompression for Foraminal Stenosis Lumbar Nerve Root Decompression for Foraminal Stenosis Issue 5: March 2016 Review date: February 2019 Following your recent MRI scan and consultation with your spinal surgeon, you have been diagnosed as

More information

Treatment Concepts for Degenerative Spinal Diseases PARADIGM SPINE

Treatment Concepts for Degenerative Spinal Diseases PARADIGM SPINE Treatment Concepts for Degenerative Spinal Diseases PARADIGM SPINE What You Need To Know About Your Spine It is important to understand the role of the spine, the changes that occur in your spine as your

More information

The Anatomy of Spinal Cord Injury (SCI)

The Anatomy of Spinal Cord Injury (SCI) The Anatomy of Spinal Cord Injury (SCI) What is the Spinal Cord? The spinal cord is that part of your central nervous system that transmits messages between your brain and your body. The spinal cord has

More information

Herniated Disk. This reference summary explains herniated disks. It discusses symptoms and causes of the condition, as well as treatment options.

Herniated Disk. This reference summary explains herniated disks. It discusses symptoms and causes of the condition, as well as treatment options. Herniated Disk Introduction Your backbone, or spine, has 24 moveable vertebrae made of bone. Between the bones are soft disks filled with a jelly-like substance. These disks cushion the vertebrae and keep

More information

THE LUMBAR SPINE (BACK)

THE LUMBAR SPINE (BACK) THE LUMBAR SPINE (BACK) At a glance Chronic back pain, especially in the area of the lumbar spine (lower back), is a widespread condition. It can be assumed that 75 % of all people have it sometimes or

More information

You have 24 vertebrae in your spinal column. Two are special enough to be individually named.

You have 24 vertebrae in your spinal column. Two are special enough to be individually named. You have 24 vertebrae in your spinal column. Two are special enough to be individually named. Your atlas (C01) and axis (C02) are very important vertebrae. Without them, head and neck movement would be

More information

Nervous System: Spinal Cord and Spinal Nerves (Chapter 13) Lecture Materials for Amy Warenda Czura, Ph.D. Suffolk County Community College

Nervous System: Spinal Cord and Spinal Nerves (Chapter 13) Lecture Materials for Amy Warenda Czura, Ph.D. Suffolk County Community College Nervous System: Spinal Cord and Spinal Nerves (Chapter 13) Lecture Materials for Amy Warenda Czura, Ph.D. Suffolk County Community College Primary Sources for figures and content: Eastern Campus Marieb,

More information

Spinal Surgery 2. Teaching Aims. Common Spinal Pathologies. Disc Degeneration. Disc Degeneration. Causes of LBP 8/2/13. Common Spinal Conditions

Spinal Surgery 2. Teaching Aims. Common Spinal Pathologies. Disc Degeneration. Disc Degeneration. Causes of LBP 8/2/13. Common Spinal Conditions Teaching Aims Spinal Surgery 2 Mr Mushtaque A. Ishaque BSc(Hons) BChir(Cantab) DM FRCS FRCS(Ed) FRCS(Orth) Hunterian Professor at The Royal College of Surgeons of England Consultant Orthopaedic Spinal

More information

RANZCR MRI CLINICAL IMAGE REVIEW PROGRAM : SELF-AUDIT

RANZCR MRI CLINICAL IMAGE REVIEW PROGRAM : SELF-AUDIT RANZCR MRI CLINICAL IMAGE REVIEW PROGRAM : SELF-AUDIT This program is available to sites with machines that have met the MRI clinical image review requirements by peer review at least once previously.

More information

Osteopathic Medicine. The Lumbar Spine. Grégoire Lason & Luc Peeters

Osteopathic Medicine. The Lumbar Spine. Grégoire Lason & Luc Peeters Osteopathic Medicine The Lumbar Spine Grégoire Lason & Luc Peeters The Lumbar Spine Grégoire Lason & Luc Peeters All rights reserved. Osteo 2000 bvba 2013. No part of this e-book may be reproduced or made

More information

III./8.4.2: Spinal trauma. III./8.4.2.1 Injury of the spinal cord

III./8.4.2: Spinal trauma. III./8.4.2.1 Injury of the spinal cord III./8.4.2: Spinal trauma Introduction Causes: motor vehicle accidents, falls, sport injuries, industrial accidents The prevalence of spinal column trauma is 64/100,000, associated with neurological dysfunction

More information

Problems. Knowing. back of the

Problems. Knowing. back of the Introduction Welcome to BodyZone Physiotherapy patient resource about Cervical Spine Problems. Knowing the main parts of your neck and how these parts work is important as you learn to care for your neck

More information

OUTLINE. Anatomy Approach to LBP Discogenic LBP. Treatment. Herniated Nucleus Pulposus Annular Tear. Non-Surgical Surgical

OUTLINE. Anatomy Approach to LBP Discogenic LBP. Treatment. Herniated Nucleus Pulposus Annular Tear. Non-Surgical Surgical DISCOGENIC PAIN OUTLINE Anatomy Approach to LBP Discogenic LBP Herniated Nucleus Pulposus Annular Tear Treatment Non-Surgical Surgical Facet Joints: bear 20% of weight Discs bear 80% of weight Neural Foramen

More information

Pre and Post MRI Study of a 10mm Lumbar Disc Extrusion Treated with the Cox Technic

Pre and Post MRI Study of a 10mm Lumbar Disc Extrusion Treated with the Cox Technic Pre and Post MRI Study of a 10mm Lumbar Disc Extrusion Treated with the Cox Technic Stephen A. LeMarr, D.C. Carmine J. Gangemi, D.C., CSCS 326 Sunset Ave Venice, CA 90291 Submitted January 9, 2007 INTRODUCTION

More information

POST SURGICAL RETURN OF RIGHT LEG PAIN. TREATED SUCCESSFULLY WITH COX FLEXION DISTRACTION DECOMPRESSION ADJUSTING

POST SURGICAL RETURN OF RIGHT LEG PAIN. TREATED SUCCESSFULLY WITH COX FLEXION DISTRACTION DECOMPRESSION ADJUSTING POST SURGICAL RETURN OF RIGHT LEG PAIN. TREATED SUCCESSFULLY WITH COX FLEXION DISTRACTION DECOMPRESSION ADJUSTING A 47 year old white married female was seen for the chief complaint of low back and right

More information

Skeletal System: Axial and Appendicular Skeleton (Chapter 7 & 8)

Skeletal System: Axial and Appendicular Skeleton (Chapter 7 & 8) Skeletal System: Axial and Appendicular Skeleton (Chapter 7 & 8) Lecture Materials for Amy Warenda Czura, Ph.D. Suffolk County Community College Eastern Campus Primary Sources for figures and content:

More information

Lectures of Human Anatomy

Lectures of Human Anatomy Lectures of Human Anatomy Vertebral Column-I By DR. ABDEL-MONEM AWAD HEGAZY M.B. with honor 1983, Dipl."Gynecology and Obstetrics "1989, Master "Anatomy and Embryology" 1994, M.D. "Anatomy and Embryology"

More information

Axial Loaded MRI of the Lumbar Spine

Axial Loaded MRI of the Lumbar Spine Clinical Radiology (2003) 58: 661 671 doi:10.1016/s0009-9260(03)00215-0, available online at www.sciencedirect.com Review Axial Loaded MRI of the Lumbar Spine A. SAIFUDDIN*,,S.BLEASE*, E. MACSWEENEY* *Medtel

More information

Chapter 6 Musculoskeletal System Diseases and Disorders

Chapter 6 Musculoskeletal System Diseases and Disorders Chapter 6 Musculoskeletal System Diseases and Disorders Anatomy and Physiology Bones and Joints Bones provide framework and support; classified by shape and composition Joints: where two or more bones

More information

Cervical Spondylotic Myelopathy

Cervical Spondylotic Myelopathy BACKGROUND (CSM) is the medical condition referring to myelopathy (spinal cord compression) due to narrowing (stenosis) of the spinal canal. Historically, there have been several reported cases of degeneration

More information

https://www.laserspineinstitute.com/back_problems/foraminal_stenosis/e...

https://www.laserspineinstitute.com/back_problems/foraminal_stenosis/e... Questions? Call toll free 1-866-249-1627 Contact us today. We're here for you seven days a week. MRI Review Consultation Live help Call 1-866-249-1627 Chat Live Home Laser Spine Institute Laser Spine Institute's

More information