Thoracic spine trauma: advanced imaging modality

Splendiani, Alessandra; Bruno, Federico; Patriarca, Lucia; Barile, Antonio; Cesare, Ernesto Di; Masciocchi, Carlo; Gallucci, M.

doi:10.1007/s11547-016-0657-y

Cited by 14 publications

(24 citation statements)

References 54 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…One of the most accredited theory, among others such as the inflammation and infection ones, is the biomechanical stress theory. 4. In our study, evaluating standard supine and weight-bearing MR scans of 38 patients with nonspecific low back pain and MRI evidence of Modic I vertebral changes, we found Modic I changes extent increase in the upright position in 26 patients (68.4%).…”

mentioning

confidence: 49%

“…Degenerative disc disease of the spine causing low back pain is a leading cause of morbidity and chronic disability [1]. MRI is the preferred imaging technique to evaluate the degenerative changes of the spine [2,3], showing high sensitivity and specificity in the diagnosis of conditions like disc herniation, spinal stenosis, and spondylodiscitis [4][5][6][7]. In the last years, MRI signal changes in vertebral endplates, especially Modic changes (MC) type I, have been advocated to be a potential specific cause of low back pain [8,9].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Modic I changes size increase from supine to standing MRI correlates with increase in pain intensity in standing position: uncovering the “biomechanical stress” and “active discopathy” theories in low back pain

et al. 2019

Self Cite

View full text Add to dashboard Cite

Purpose To evaluate the relationship between degenerative disc, endplate Modic changes (MC) type I, and pain during upright weight-bearing MRI scan of the lumbar spine in a cohort of patients with non-specific low back pain. Materials and methodsWe evaluated 38 patients with non-specific low back pain and MRI evidence of Modic I vertebral changes. The patients were evaluated in a standard and upright weight-bearing position using a dedicated MR unit. The extent of endplate MC type I, intervertebral disc height at the involved level, and degree of degeneration in the same intervertebral disc were compared. Pain was assessed through the VAS questionnaire. Results In the upright position, the area of Modic I changes increased in 26 patients (68.4%, p ≤ 0.001) compared to the supine position. In the upright position, reduction in the disc height was found in 35 patients (92.1%). Correlation analysis showed moderate negative correlation (ρ = − 0.45) between intervertebral disc height and increase in the area of Modic I changes, and weak positive correlation (ρ = 0.12) between Pfirrmann grade and increase in the area of Modic I changes. At clinical evaluation, 30 patients (78.9%) reported worsening of low back pain standing in the upright position. Increase in VAS values on the upright position correlated significantly (ρ = 0.34) with an increase in the area of Modic I changes. Conclusions Our results showed the modifications of Modic I changes under loading, with MRI evidence of increased MC area extent in the upright position and correlation between Modic changes extension increase and increase in pain in the standing position. Weight-bearing MRI scans represent a valuable complement to standard sequences since they provide the radiologist with additional diagnostic information about low back pain. Graphical abstractThese slides can be retrieved from Electronic Supplementary Material. Key pointsSplendiani A, Bruno F, Marsecano C, Arrigoni F, di Cesare E, Barile A, Masciocchi C (2019) Modic I changes size increase from supine to standing MRI correlates with increase of pain intensity in standing position: uncovering the "biomechanical stress" and "active discopathy" theories in low back pain. Eur Spine J;

show abstract

mentioning

confidence: 49%

Section: Introductionmentioning

confidence: 99%

Modic I changes size increase from supine to standing MRI correlates with increase in pain intensity in standing position: uncovering the “biomechanical stress” and “active discopathy” theories in low back pain

et al. 2019

Self Cite

View full text Add to dashboard Cite

show abstract

“…16 Most spine fractures are associated with high-energy trauma or falls in the elderly. 14,17 At minimum, imaging should include AP and lateral radiographs of the entire spine, as well as an odontoid (or open mouth) view of the C-spine. 14,17 In the patient with acute trauma, it is acceptable to use CT imaging first, especially in unconscious or intermediate-to high-risk patients.…”

Section: Spine Evaluation In Trauma Patientsmentioning

confidence: 99%

“…14,17 At minimum, imaging should include AP and lateral radiographs of the entire spine, as well as an odontoid (or open mouth) view of the C-spine. 14,17 In the patient with acute trauma, it is acceptable to use CT imaging first, especially in unconscious or intermediate-to high-risk patients. 14,17 To assess for associated vascular injury, computed tomographic angiography of the head and neck should be ordered on any patient found to have a fracture of C1-C2 or a cervical vertebral body or transverse foramen fracture, subluxation, or ligamentous injury at any level (there are additional nonorthopedic indications for head and neck computed tomographic angiography not discussed in this article).…”

Section: Spine Evaluation In Trauma Patientsmentioning

confidence: 99%

Imaging Considerations in Musculoskeletal Trauma

Merton¹

2020

The Journal for Nurse Practitioners

View full text Add to dashboard Cite

“…A limitation of CT scans is the beam-hardening artifact caused by the metallic prosthesis, which causes difficulty in the evaluation of the spinal canal; however, they are less common with titanium implants than with stainless steel because of the lower beam attenuation coefficient of titanium [30][31][32][33][34].…”

Section: Neuroradiological Evaluation: Modality and Technical Pitfallsmentioning

confidence: 99%

Imaging of post-surgical treatment and of related complications in spinal trauma

et al. 2017

View full text Add to dashboard Cite

Spinal trauma is a devastating event with a high morbidity and mortality. The rationale of imaging is to diagnose the traumatic abnormalities and characterize the type of injury, to estimate the severity of the lesions, to evaluate the potential spinal instability. In case of spinal instability, the goals of operative treatment are decompression of the spinal cord canal and stabilization of the disrupted vertebral column. Particularly, diagnostic imaging, mainly by CT and MR, has a main role in the posttreatment evaluation. The neuroradiological evaluation of the postoperative spine requires a general knowledge of the surgical approach to each spinal region and of the normal temporal evolution of expected postoperative changes. The neuroradiologist should evaluate the devices implanted, their related complications and promptly alert the surgeon of acute complications, mainly vascular and infective. During the follow-up, it is mandatory to know and search chronic complications as pseudomeningocele, accelerated degenerative disease, arachnoiditis, peridural fibrosis. Knowledge of specific complications relating to each surgical approach will assist the neuroradiologist in interpretation of postoperative images.

show abstract

Thoracic spine trauma: advanced imaging modality

Cited by 14 publications

References 54 publications

Modic I changes size increase from supine to standing MRI correlates with increase in pain intensity in standing position: uncovering the “biomechanical stress” and “active discopathy” theories in low back pain

Modic I changes size increase from supine to standing MRI correlates with increase in pain intensity in standing position: uncovering the “biomechanical stress” and “active discopathy” theories in low back pain

Imaging Considerations in Musculoskeletal Trauma

Imaging of post-surgical treatment and of related complications in spinal trauma

Contact Info

Product

Resources

About