MR imaging of subchondral osteonecrosis of the vertebral body after percutaneous laser diskectomy

被引:9
|
作者
Tonami, H
Kuginuki, M
Kuginuki, Y
Matoba, M
Yokota, H
Higashi, K
Yamamoto, I
Nishijima, Y
机构
[1] Kanazawa Med Univ, Dept Radiol, Kahoku, Ishikawa 9200293, Japan
[2] Kanazawa Med Univ, Dept Orthopaed, Kahoku, Ishikawa 9200293, Japan
关键词
D O I
10.2214/ajr.173.5.10541125
中图分类号
R8 [特种医学]; R445 [影像诊断学];
学科分类号
1002 ; 100207 ; 1009 ;
摘要
OBJECTIVE. We describe four cases of subchondral osteonecrosis of the vertebral body that occurred after percutaneous laser diskectomy. Follow-up MR imaging after laser intervention showed abnormal findings in the vertebral body immediately adjacent to the site of diskectomy that are consistent with subchondral osteonecrosis. CONCLUSION. MR imaging features of this complication include a wedge-shaped low signal intensity on T1-weighted images, high and low signal intensities on T2-weighted images, and a contrast-enhanced area corresponding to high signal intensity on T2-weighted images. Possible causative mechanisms include thermal injury and photoacoustic shock.
引用
收藏
页码:1383 / 1386
页数:4
相关论文
共 50 条
  • [1] Subchondral marrow changes after laser diskectomy in the lumbar spine: MR imaging findings and clinical correlation
    Cvitanic, OA
    Schimandle, J
    Casper, GD
    Tirman, PFJ
    [J]. AMERICAN JOURNAL OF ROENTGENOLOGY, 2000, 174 (05) : 1363 - 1369
  • [2] MR imaging of marrow changes after laser diskectomy - Reply
    Cvitanic, O
    [J]. AMERICAN JOURNAL OF ROENTGENOLOGY, 2000, 175 (06) : 1748 - 1748
  • [3] Subchondral fractures in osteonecrosis of the femoral head: Comparison of radiography, CT, and MR imaging
    Stevens, K
    Tao, C
    Lee, SU
    Salem, N
    Vandevenne, J
    Cheng, C
    Neumann, G
    Alexandre-Valentrin-Opran
    Lang, P
    [J]. AMERICAN JOURNAL OF ROENTGENOLOGY, 2003, 180 (02) : 363 - 368
  • [4] AVASCULAR NECROSIS OF THE VERTEBRAL BODY - MR IMAGING
    NAUL, LG
    PEET, GJ
    MAUPIN, WB
    [J]. RADIOLOGY, 1989, 172 (01) : 219 - 222
  • [5] Vertebral osteonecrosis: MR imaging findings and related changes on adjacent levels
    Yu, C-W.
    Hsu, C-Y.
    Shih, T. T-F.
    Chen, B-B.
    Fu, C-J
    [J]. AMERICAN JOURNAL OF NEURORADIOLOGY, 2007, 28 (01) : 42 - 47
  • [6] MR-IMAGING OF HO-YAG LASER DISKECTOMY WITH HISTOLOGIC CORRELATION
    PHILLIPS, JJ
    KOPCHOK, GE
    PENG, SK
    MUELLER, MP
    WHITE, RA
    [J]. JMRI-JOURNAL OF MAGNETIC RESONANCE IMAGING, 1993, 3 (03): : 515 - 520
  • [7] The "mini brain": Plasmacytoma in a vertebral body on MR imaging
    Major, NM
    Helms, CA
    Richardson, WJ
    [J]. AMERICAN JOURNAL OF ROENTGENOLOGY, 2000, 175 (01) : 261 - 263
  • [8] Symptomatic epidural gas after open diskectomy: CT and MR imaging findings
    Ilica, A. T.
    Kocaoglu, M.
    Bulakbasi, N.
    Kahraman, S.
    [J]. AMERICAN JOURNAL OF NEURORADIOLOGY, 2006, 27 (05) : 998 - 999
  • [9] The reactions of PMMA in vertebral body after percutaneous vertebroplasty
    Li, Chun-Hai
    Zhang, Shuo-Ling
    Ding, Yue
    Ye, Wei
    Zhu, Wei-rong
    Lou, Zhen-kai
    [J]. BONE, 2010, 47 : S427 - S427
  • [10] Whole-body MR imaging in children with suspected osteonecrosis after intensive chemotherapy: Preliminary results
    Beer, M.
    Stenzel, M.
    Girschick, H.
    Schlegel, P. -G.
    Dargel, K.
    [J]. ROFO-FORTSCHRITTE AUF DEM GEBIET DER RONTGENSTRAHLEN UND DER BILDGEBENDEN VERFAHREN, 2008, 180 (03): : 238 - 245