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The radiographic evaluation of the symptomatic postoperative lumbar spine patient.

Authors
  • Byrd, S E
  • Cohn, M L
  • Biggers, S L
  • Huntington, C T
  • Locke, G E
  • Charles, M F
Type
Published Article
Journal
Spine
Publisher
Ovid Technologies (Wolters Kluwer) - Lippincott Williams & Wilkins
Publication Date
Sep 01, 1985
Volume
10
Issue
7
Pages
652–661
Identifiers
PMID: 2933827
Source
Medline
License
Unknown

Abstract

The diagnostic evaluation of patients with previous lumbar surgery presents a problem clinically and radiographically. The authors evaluated radiographically 75 patients with previous lumbar surgery who had persistent lumbar symptomatology. From their series, they found that a combination of two modalities (1) plain radiographs of the lumbar spine and (2) CT with intrathecal metrizamide and/or intravenous contrast provided the most complete and useful diagnostic information. The findings are presented with an emphasis on the pathologic changes demonstrated on the CT scans of the lumbar spine of which the most persistent findings were granulation tissue at the surgical site, lumbosacral spondylosis, recurrent or residual herniated disc, and arachnoiditis.

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