MRI of Degenerative Disease of the Spine : A Case-Based Atlas

This richly illustrated case-based atlas thoroughly depicts the role of MR imaging in the assessment of patients presenting with pain due to degenerative disease of the spine and will serve as an excellent guide to differential diagnosis. Importantly, generic radicular compression is the main reason for the painful symptomatology in only a limited number of cases, and this book illustrates and emphasizes how various anatomic elements of the spine can be responsible. The imaging features of a range of disorders involving both the anterior and posterior elements of the spine are described, including active inflammatory osteochondrosis, atypical herniated discs, facet joint disorders, spondylolysis, and degenerative-inflammatory changes of the spinal ligaments and posterior perispinal muscles. Each example is supported by clinical data, and a series of unusual cases are also presented. MR study protocols include T2-weighted sequences with fat saturation and contrast-enhanced T1-weighted sequences with fat saturation to allow better visualization or highlighting of various inflammatory changes in the spine. Radiologists, neuroradiologists, neurosurgeons, orthopedists, and rehabilitation physicians will all find this atlas a valuable asset in their practice. This Richly Illustrated Case-based Atlas Thoroughly Depicts The Role Of Mr Imaging In The Assessment Of Patients Presenting With Pain Due To Degenerative Disease Of The Spine And Will Serve As An Excellent Guide To Differential Diagnosis. Importantly, Generic Radicular Compression Is The Main Reason For The Painful Symptomatology In Only A Limited Number Of Cases, And This Book Illustrates And Emphasizes How Various Anatomic Elements Of The Spine Can Be Responsible. The Imaging Features Of A Range Of Disorders Involving Both The Anterior And Posterior Elements Of The Spine Are Described, Incl. Foreword; Preface; Acknowledgements; Contents; Contributors; Part I: Clinical And Technical Aspects; 1: Biomechanics Of The Spine; 1.1 Spine Stability; 1.1.1 Spinal Bones Joints And Ligaments; 1.1.2 The Muscles And Central Control Unit; 1.2 Spine Instability; 1.2.1 Degenerative Instability; References; 2: Mri In Degenerative Disease Of The Spine; 2.1 Disc Degeneration; 2.2 Disc Herniation; 2.3 Canal Stenosis; 2.4 Facet Joint Changes (joint Effusion, Synovitis, Synovial Cysts, Osteoarthritis); 2.5 Spondylolysis; 2.6 Spinal/perispinal Ligamentous Degenerative-inflammatory Changes 2.7 Muscular Changesreferences; Part Ii: Clinical Cases; Case 1: Osteochondrosis; Case 2: Osteochondritis; Case 3: Osteochondrosis; Case 4: Osteochondritis; Case 5: Osteochondritis; Case 6: Osteochondritis; Case 7: Osteochondritis; Case 8: Facet Joint Effusion; Case 9: Facet Joint Effusion; Case 10: Synovitis Radiculitis; Case 11: Facet Joint Osteoarthritis; Case 12: Facet Joint Osteoarthritis; Case 13: Facet Joint Osteoarthritis; Case 14: C1-c2 Osteoarthritis; Case 15: Facet Joint Osteoarthritis; Case 16: Facet Joint Osteoarthritisligamentous Inflammation Case 17: Osteochondrosisfacet Joint Osteoarthritiscase 18: Facet Joint Osteoarthritis Synovitis; Case 19: Facet Joint Osteoarthritis Synovitis; Case 20: Atlanto-axial Osteoarthritis; Case 21: Peridiscal Inflammation Synovitisbone Collision; Case 22: Atlanto-axial Osteoarthritis; Case 23: Spine Instabilityfacet Joint Osteoarthritis; Case 24: Synovitisinflammation Of Ligaments; Case 25: Synovial Cyst; Case 26: Synovial Cystfacet Joint Osteoarthritis; Case 27: Synovial Cyst; Case 28: Synovial Cyst; Case 29: Synovial Cyst; Case 30: Facet Joint Osteoarthritissynovial Cyst Case 31: Facet Joint Osteoarthritissynovial Cystcase 32: Spondylolysis; Case 33: Spondylolysis; Case 34: Spondylolysis; Case 35: Spondylolysis Muscular Inflammation; Case 36: Spondylolysis; Case 37: Spondylolysisdegenerative-inflammatory Changes Of Ligaments; Case 38: Spondylolysis; Case 39: Degeneration-inflammation Of Ligaments; Case 40: Degeneration-inflammation Of Ligaments; Case 41: Degeneration-inflammation Of Ligaments; Case 42: Degeneration-inflammation Of Ligaments; Case 43: Degeneration-inflammation Of Ligaments Baastrup's Phenomenon Case 44: Degeneration-inflammation Of Ligaments Baastrup's Phenomenoncase 45: Osteochondritis Osteoarthritis Muscular Inflammation; Case 46: Degeneration-inflammation Of Ligaments Ligamentous Cystfacet Joint Osteoarthritissynovitis; Case 47: Degeneration-inflammation Of Ligaments And Paravertebral Muscles; Case 48: Muscular Inflammation; Case 49: Muscular Inflammation; Case 50: Muscular Inflammation; Case 51: Muscular Inflammation; Case 52: Unusual Case Herniated Disc In Unusual Location; Case 53: Unusual Case Herniated Disc In Unusual Location; Case 54: Unusual Case Giant Schmorl Hernia Paola D'aprile ; In Collaboration With Alfredo Tarantino. Includes Bibliographical References. Mode Of Access: World Wide Web. Foreword 6 Preface 8 Acknowledgements 10 Contents 12 Contributors 16 Part I: Clinical and Technical Aspects 17 1: Biomechanics of the Spine 18 1.1 Spine Stability 18 1.1.1 Spinal Bones Joints and Ligaments 18 1.1.2 The Muscles and Central Control Unit 21 1.2 Spine Instability 21 1.2.1 Degenerative Instability 22 References 23 2: MRI in Degenerative Disease of the Spine 24 2.1 Disc Degeneration 25 2.2 Disc Herniation 26 2.3 Canal Stenosis 27 2.4 Facet Joint Changes (Joint Effusion, Synovitis, Synovial Cysts, Osteoarthritis) 27 2.5 Spondylolysis 28 2.6 Spinal/Perispinal Ligamentous Degenerative-Inflammatory Changes 28 2.7 Muscular Changes 29 References 29 Part II: Clinical Cases 30 Case 1: Osteochondrosis 31 Case 2: Osteochondritis 32 Case 3: Osteochondrosis 33 Case 4: Osteochondritis 34 Case 5: Osteochondritis 35 Case 6: Osteochondritis 36 Case 7: Osteochondritis 38 Case 8: Facet Joint Effusion 40 Case 9: Facet Joint Effusion 41 Case 10: Synovitis Radiculitis 42 Case 11: Facet Joint Osteoarthritis 43 Case 12: Facet Joint Osteoarthritis 45 Case 13: Facet Joint Osteoarthritis 47 Case 14: C1-C2 Osteoarthritis 49 Case 15: Facet Joint Osteoarthritis 51 Case 16: Facet Joint Osteoarthritis Ligamentous Inflammation 53 Case 17: Osteochondrosis Facet Joint Osteoarthritis 54 Case 18: Facet Joint Osteoarthritis Synovitis 56 Case 19: Facet Joint Osteoarthritis Synovitis 58 Case 20: Atlanto-Axial Osteoarthritis 60 Case 21: Peridiscal Inflammation Synovitis Bone Collision 62 Case 22: Atlanto-Axial Osteoarthritis 63 Case 23: Spine Instability Facet Joint Osteoarthritis 65 Case 24: Synovitis Inflammation of Ligaments 67 Case 25: Synovial Cyst 69 Case 26: Synovial Cyst Facet Joint Osteoarthritis 70 Case 27: Synovial Cyst 72 Case 28: Synovial Cyst 74 Case 29: Synovial Cyst 76 Case 30: Facet Joint Osteoarthritis Synovial Cyst 78 Case 31: Facet Joint Osteoarthritis Synovial Cyst 80 Case 32: Spondylolysis 82 Case 33: Spondylolysis 84 Case 34: Spondylolysis 86 Case 35: Spondylolysis Muscular Inflammation 88 Case 36: Spondylolysis 91 Case 37: Spondylolysis Degenerative-Inflammatory Changes of Ligaments 93 Case 38: Spondylolysis 95 Case 39: Degeneration-Inflammation of Ligaments 97 Case 40: Degeneration-Inflammation of Ligaments 99 Case 41: Degeneration-Inflammation of Ligaments 101 Case 42: Degeneration-Inflammation of Ligaments 103 Case 43: Degeneration-Inflammation of Ligaments Baastrup’s Phenomenon 105 Case 44: Degeneration-Inflammation of Ligaments Baastrup’s Phenomenon 107 Case 45: Osteochondritis Osteoarthritis Muscular Inflammation 109 Case 46: Degeneration-Inflammation of Ligaments Ligamentous Cyst Facet Joint Osteoarthritis Synovitis 112 Case 47: Degeneration-Inflammation of Ligaments and Paravertebral Muscles 114 Case 48: Muscular Inflammation 116 Case 49: Muscular Inflammation 117 Case 50: Muscular Inflammation 119 Case 51: Muscular Inflammation 121 Case 52: Unusual Case Herniated Disc in Unusual Location 124 Case 53: Unusual Case Herniated Disc in Unusual Location 126 Case 54: Unusual Case Giant Schmorl Hernia 128 Case 55: Unusual Case Ganglion Cyst 130 Case 56: Unusual Case Periradicular Cyst 132 Case 57: Unusual Case 134 Case 58: Unusual Case 135 Reference 137 Case 59: Radiculitis 138 Case 60: Radiculitis 139 Case 61: Radiculitis 140 Case 62: Radiculitis 142 Case 63: Radiculitis 144 Case 64: Neuritis 146 Front Matter....Pages i-xv Front Matter....Pages 1-1 Biomechanics of the Spine....Pages 3-8 MRI in Degenerative Disease of the Spine....Pages 9-14 Front Matter....Pages 15-15 Osteochondrosis....Pages 17-17 Osteochondritis....Pages 19-19 Osteochondrosis....Pages 21-21 Osteochondritis....Pages 23-23 Osteochondritis....Pages 25-25 Osteochondritis....Pages 27-28 Osteochondritis....Pages 29-30 Facet Joint Effusion....Pages 31-31 Facet Joint Effusion....Pages 33-33 Synovitis....Pages 35-35 Facet Joint Osteoarthritis....Pages 37-38 Facet Joint Osteoarthritis....Pages 39-40 Facet Joint Osteoarthritis....Pages 41-42 C1-C2 Osteoarthritis....Pages 43-44 Facet Joint Osteoarthritis....Pages 45-46 Facet Joint Osteoarthritis....Pages 47-47 Osteochondrosis....Pages 49-50 Facet Joint Osteoarthritis....Pages 51-52 Front Matter....Pages 15-15 Facet Joint Osteoarthritis....Pages 53-54 Atlanto-Axial Osteoarthritis....Pages 55-56 Peridiscal Inflammation....Pages 57-57 Atlanto-Axial Osteoarthritis....Pages 59-60 Spine Instability....Pages 61-62 Synovitis....Pages 63-64 Synovial Cyst....Pages 65-65 Synovial Cyst....Pages 67-68 Synovial Cyst....Pages 69-70 Synovial Cyst....Pages 71-72 Synovial Cyst....Pages 73-74 Facet Joint Osteoarthritis....Pages 75-76 Facet Joint Osteoarthritis....Pages 77-78 Spondylolysis....Pages 79-80 Spondylolysis....Pages 81-82 Spondylolysis....Pages 83-84 Spondylolysis....Pages 85-87 Spondylolysis....Pages 89-90 Spondylolysis....Pages 91-92 Spondylolysis....Pages 93-94 Front Matter....Pages 15-15 Degeneration-Inflammation of Ligaments....Pages 95-96 Degeneration-Inflammation of Ligaments....Pages 97-98 Degeneration-Inflammation of Ligaments....Pages 99-100 Degeneration-Inflammation of Ligaments....Pages 101-102 Degeneration-Inflammation of Ligaments....Pages 103-104 Degeneration-Inflammation of Ligaments....Pages 105-106 Osteochondritis....Pages 107-109 Degeneration-Inflammation of Ligaments....Pages 111-112 Degeneration-Inflammation of Ligaments and Paravertebral Muscles....Pages 113-114 Muscular Inflammation....Pages 115-115 Muscular Inflammation....Pages 117-118 Muscular Inflammation....Pages 119-120 Muscular Inflammation....Pages 121-123 Unusual Case....Pages 125-126 Unusual Case....Pages 127-128 Unusual Case....Pages 129-130 Unusual Case....Pages 131-132 Unusual Case....Pages 133-134 Unusual Case....Pages 135-135 Unusual Case....Pages 137-139 Front Matter....Pages 15-15 Radiculitis....Pages 141-141 Radiculitis....Pages 143-143 Radiculitis....Pages 145-146 Radiculitis....Pages 147-148 Radiculitis....Pages 149-150 Neuritis....Pages 151-152