Lumbar Spine Posttherapeutic Imaging

Semin Musculoskelet Radiol. 2022 Jun;26(3):314-328. doi: 10.1055/s-0041-1740381. Epub 2022 Jun 2.

Abstract

Management of patients after lumbar spine surgery or interventional radiology can be complex, and postoperative imaging patterns are often poorly understood by nonspecialized radiologists. This article focuses on postoperative imaging features of the lumbar spine in five clinical settings (with corresponding interventions): vertebral osteoporotic fractures (percutaneous vertebroplasty and vertebral augmentation), lumbar disk herniation (surgical diskectomy and percutaneous interventional radiology), lumbar spinal stenosis (surgical decompression), lumbar spondylolisthesis (surgical decompression and fusion), and degenerative scoliosis (techniques of osteotomies).For each intervention, we discuss imaging indications, depending if the patient is asymptomatic or if there are suspected complications, describe normal and pathologic imaging features, and present key points.

MeSH terms

  • Humans
  • Lumbar Vertebrae / diagnostic imaging
  • Lumbar Vertebrae / injuries
  • Lumbar Vertebrae / surgery
  • Spinal Fractures* / diagnostic imaging
  • Spinal Fractures* / surgery
  • Spinal Fusion*
  • Spinal Stenosis* / diagnostic imaging
  • Spinal Stenosis* / surgery
  • Spondylolisthesis* / diagnostic imaging
  • Spondylolisthesis* / surgery