Articles

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743 results found
Article

Spinal schwannoma

Spinal schwannomas are benign nerve sheath tumors within the spinal canal, typically arising from spinal nerve roots and it is the most common nerve sheath tumor of spine 11. They are one of the two most common intradural extramedullary spinal tumors, representing 15-50% of such lesions. This a...
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Failed back syndrome

Failed back syndrome refers to persistent leg and/or lumbar back pain after a surgical procedure. The pathophysiology of this syndrome is complex, as often the operation was technically successful.  Terminology Other names for failed back syndrome include failed back surgery syndrome, post-lam...
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Osteolytic bone lesion

Osteolytic lesions, lytic or lucent bone lesions are descriptive terms for lesions that replace normal bone or with a vast proportion showing a lower density or attenuation than the normal cancellous bone. This comprises lesions with fatty liquid and solid soft tissue components. Pathology Luc...
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Spinal ganglioglioma

Spinal gangliogliomas are rare, comprising 1.1% of all spinal cord neoplasms 2. They are more frequent in children, representing 15% of intramedullary neoplasms in the pediatric age group 4. This article specifically relates to spinal gangliogliomas. For a discussion on intracranial ganglioglio...
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Discectomy

Discectomy is the most common surgery for lower back pain performed for the treatment of disc herniations. It is often combined with other spinal procedures such as laminotomy or foraminotomy or artificial disc replacement and other forms of spinal fusion. Discectomy techniques can be generally ...
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Spinal primitive neuroectodermal tumor

Spinal primitive neuroectodermal tumors (PNETs) are rare. Most cases are secondary to metastatic spread through the subarachnoid space from a primary intracranial tumor although rare cases of primary spinal PNETs have been reported. This article specifically relates to spinal PNETs. For a discu...
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Lymphoma of the spinal cord

Lymphoma of the spinal cord is an uncommon manifestation of lymphoma. Although lymphoma more commonly involves the vertebral body (vertebral body tumors) or epidural compartment, intramedullary lymphoma may rarely occur.   Apparent intramedullary spinal cord lymphoma may often, in fact, represe...
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Spinal hemangioblastoma

Spinal hemangioblastomas are the third most common intramedullary spinal neoplasm, representing 2-6% of all intramedullary tumors 1,4,7. This article specifically relates to spinal hemangioblastomas. For a discussion on intracranial hemangioblastomas and a general discussion of the pathology re...
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Low endplate signal on T1

Several conditions may give vertebral endplate T1 low signal on MRI. They include:   ankylosing spondylitis vertebral metastases disc infection haemodialysis
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Lumbar disc disease

Lumbar disc disease is a very common entity with a high asymptomatic prevalence. Intervertebral disc abnormalities are found in 25% of individuals below the age of 60, and over 50% in those over the age of 60. It is therefore not enough to demonstrate a disc lesion in someone with non-specific b...
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Spondylodiscitis

Spondylodiscitis, (rare plural: spondylodiscitides) also referred to as discitis-osteomyelitis, is characterized by infection involving the intervertebral disc and adjacent vertebrae. Terminology In adults, the use of the term discitis is generally discouraged as isolated infection of the spin...
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Lumbar spine (AP/PA view)

The lumbar spine anteroposterior or posteroanterior view images the lumbar spine in its anatomical position. The lumbar spine generally consists of five vertebrae (see: lumbosacral transitional vertebra). Indications This projection is utilized in many imaging contexts including trauma, postop...
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Paracondylar process

The paracondylar process, also known as the paraoccipital, paramastoid, parajugular or estiloid process, is a rare anatomical variant of the occipital bone where a bony exostosis extends caudally from the paracondylar region (lateral to the native occipital condyles), typically articulating with...
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Craniocervical fixation

Craniocervical fixation, instrumentation or occipitocervical fusion refer to surgical fixation techniques with the goal to stabilize the craniocervical junction. Indications Craniocervical fixation is indicated in the setting of craniocervical instability including 2,3: iatrogenic craniocervi...
Article

Lateral hemivertebra

A lateral hemivertebra is a form of hemivertebra which occurs when one of the two chondrification centers fails to develop. They can be single or multiple and usually associated in the formation of scoliosis.  Pathology Subtypes Various subtypes have been described incarcerated hemivertebra ...
Article

Caudal regression syndrome

Caudal regression syndrome represents a spectrum of structural defects of the caudal region. Malformations vary from isolated partial agenesis of the coccyx to lumbosacral agenesis. Epidemiology Caudal regression syndrome is rare, with an estimated incidence of 1:7500-100,000 7,10. The vast m...
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Traumatic spinal cord injury

Traumatic spinal cord injury can manifest as a wide variety of clinical syndromes resulting from damage to the spinal cord or its surrounding structures. It can result from minor injury if the spine is weakened from disease such as ankylosing spondylitis or if there is pre-existing spinal stenos...
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Thoracic spine fracture-dislocation

Thoracic spine fracture-dislocations are severe forms of spinal column injuries that occur secondary to high-energy trauma, in which there is vertebral fracture concomitant with dislocation of facet joints and/or the intervertebral disc space. They are mechanically unstable and are associated wi...
Article

Spina bifida

Spina bifida is a type of neural tube defect/spinal dysraphism which can occur to varying degrees of severity. It is often considered the most common congenital CNS malformation. Terminology Spina bifida in its strictest sense means defective fusion of the vertebral posterior elements, leading...
Article

Acute spinal cord ischemia syndrome

Acute spinal cord ischemia syndrome is uncommon, but usually presents with profound neurological signs and symptoms, and the prognosis is poor.  Epidemiology Acute spinal cord ischemia syndrome represents only 5-8% of acute myelopathies 4,5 and <1% of all strokes 7. The demographic of affected...

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