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Postoperative Wirbelsäule

Postoperative spine

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Zusammenfassung

Etwa 15–30 % der operativen Eingriffe im Bereich der lumbalen Wirbelsäule verlaufen nicht komplikationsfrei und erfordern weiterführende Abklärungen. Die Auswahl des bildgebenden Verfahrens im Rahmen postoperativer Komplikationen hängt dabei wesentlich von der zeitlichen Entwicklung, dem Ausmaß und Verteilungsmuster der neuaufgetretenen klinisch-neurologischen bzw. orthopädischen Symptome sowie von den Ausfällen vor dem Eingriff, der zugrundeliegenden Pathologie und der Lokalisation und Art des Eingriffs ab. Die Interpretation der bildgebenden Befunde, insbesondere die Abgrenzung postoperativer Komplikationen von natürlicherweise zu erwartenden postoperativen Veränderungen kann dabei eine Herausforderung darstellen. Bei unklaren Befunden kann ergänzend zur eingehend klinisch-neurologischen und laborchemischen Bestandsaufnahme auch der kombinierte Einsatz mehrerer bildgebender Modalitäten diagnostisch weiterhelfen.

Abstract

Approximately 15–30 % of surgical procedures involving the lumbar spine are associated with complications that require further diagnostic work-up. The choice of imaging modality for postoperative complications depends on the extent, pattern and temporal evolution of the postoperative neurological signs and symptoms as well as on the preoperative clinical status, the surgical procedure itself and the underlying pathology. The interpretation of imaging findings, in particular the distinction between postoperative complications and normally expected nonspecific postoperative imaging alterations can be challenging and requires the integration of clinical neurological information and the results of laboratory tests. The combination of different imaging techniques might help in cases of equivocal imaging results.

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Einhaltung ethischer Richtlinien

Interessenkonflikt. F.J. Ahlhelm, R. Schlaeger, J.M. Lieb, K. Shariat geben an, dass kein Interessenkonflikt besteht. Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.

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Authors and Affiliations

  1. Neurologische Klinik und Poliklinik, Universitätsspital Basel, Basel, Schweiz

    R. Schlaeger

  2. Klinik für Radiologie und Nuklearmedizin, Universitätsspital Basel, Basel, Schweiz

    J.M. Lieb

  3. Neurochirurgie Köln-Merheim, Köln, Deutschland

    K. Shariat

  4. Abteilung Neuroradiologie, Institut für Radiologie, Kantonsspital Baden AG, 5404, Baden, Schweiz

    F.J. Ahlhelm

Authors
  1. R. Schlaeger
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  2. J.M. Lieb
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  3. K. Shariat
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  4. F.J. Ahlhelm
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Correspondence to F.J. Ahlhelm.

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Schlaeger, R., Lieb, J., Shariat, K. et al. Postoperative Wirbelsäule. Radiologe 54, 1093–1102 (2014). https://doi.org/10.1007/s00117-014-2727-2

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