1naresh
Array
(
    [urn:ac.highwire.org:guest:identity] => Array
        (
            [runtime-id] => urn:ac.highwire.org:guest:identity
            [type] => guest
            [service-id] => ajnr-ac.highwire.org
            [access-type] => Controlled
            [privilege] => Array
                (
                    [urn:ac.highwire.org:guest:privilege] => Array
                        (
                            [runtime-id] => urn:ac.highwire.org:guest:privilege
                            [type] => privilege-set
                            [privilege-set] => GUEST
                        )

                )

            [credentials] => Array
                (
                    [method] => guest
                )

        )

)
1naresh
Array
(
    [urn:ac.highwire.org:guest:identity] => Array
        (
            [runtime-id] => urn:ac.highwire.org:guest:identity
            [type] => guest
            [service-id] => ajnr-ac.highwire.org
            [access-type] => Controlled
            [privilege] => Array
                (
                    [urn:ac.highwire.org:guest:privilege] => Array
                        (
                            [runtime-id] => urn:ac.highwire.org:guest:privilege
                            [type] => privilege-set
                            [privilege-set] => GUEST
                        )

                )

            [credentials] => Array
                (
                    [method] => guest
                )

        )

)
1naresh
Array
(
    [urn:ac.highwire.org:guest:identity] => Array
        (
            [runtime-id] => urn:ac.highwire.org:guest:identity
            [type] => guest
            [service-id] => ajnr-ac.highwire.org
            [access-type] => Controlled
            [privilege] => Array
                (
                    [urn:ac.highwire.org:guest:privilege] => Array
                        (
                            [runtime-id] => urn:ac.highwire.org:guest:privilege
                            [type] => privilege-set
                            [privilege-set] => GUEST
                        )

                )

            [credentials] => Array
                (
                    [method] => guest
                )

        )

)
1naresh
Array
(
    [urn:ac.highwire.org:guest:identity] => Array
        (
            [runtime-id] => urn:ac.highwire.org:guest:identity
            [type] => guest
            [service-id] => ajnr-ac.highwire.org
            [access-type] => Controlled
            [privilege] => Array
                (
                    [urn:ac.highwire.org:guest:privilege] => Array
                        (
                            [runtime-id] => urn:ac.highwire.org:guest:privilege
                            [type] => privilege-set
                            [privilege-set] => GUEST
                        )

                )

            [credentials] => Array
                (
                    [method] => guest
                )

        )

)
1naresh
Array
(
    [urn:ac.highwire.org:guest:identity] => Array
        (
            [runtime-id] => urn:ac.highwire.org:guest:identity
            [type] => guest
            [service-id] => ajnr-ac.highwire.org
            [access-type] => OpenAccess
            [privilege] => Array
                (
                    [urn:ac.highwire.org:guest:privilege] => Array
                        (
                            [runtime-id] => urn:ac.highwire.org:guest:privilege
                            [type] => privilege-set
                            [privilege-set] => GUEST
                        )

                )

            [credentials] => Array
                (
                    [method] => guest
                )

        )

)


  
    







































































































    Symptomatic Nerve Root Changes on Contrast-Enhanced MR Imaging after Surgery for Lumbar Disk Herniation | American Journal of Neuroradiology  
    



















    































    
  
  




    
    

  

      


    

      

  
  
  

    

  

    

  

                
    

      

  

    

  
      
  
  

    


Advertisement



  



  


  
  



  



    

  


  


  


  
  
  
  
  
  

  	      



          


    
      

    
  
    
        
    

  

    
                        

  

                
    

      

	  

		
		

			

			  

  
      
  
  

    

  
  
      
Research ArticleSPINE

  
      
Open Access

  
      
Symptomatic Nerve Root Changes on Contrast-Enhanced MR Imaging after Surgery for Lumbar Disk Herniation
  
    	
Y.S. Lee, E.S. Choi and C.J. Song

  
    	
American Journal of Neuroradiology May 2009,  30 (5) 1062-1067; DOI: https://doi.org/10.3174/ajnr.A1497 

  
  
  



  


  
  



			

		

	
	
 	
	  
  

		
		

			

			  

  
      
  
  

    
  


  
  



  
      
  
  

    

  

    

  
      
  
  

    
References
  1. ↵
    Duda JJ Jr, Ross JS. The postoperative lumbar spine: imaging considerations. Semin Ultrasound CT MRI 1993;14:425–36
    CrossRefPubMed
  2. ↵
    Grane P. The postoperative lumbar spine. A radiological investigation of the lumbar spine after discectomy using MR imaging and CT. Acta Radiol Suppl 1998;414:1–23
    PubMed
  3. ↵
    Babar S, Saifuddin A. MRI of the post-discectomy lumbar spine. Clin Radiol 2002;57:969–81
    CrossRefPubMedWeb of Science
  4. ↵
    Nygaard OP, Jacobsen EA, Solberg T, et al. Nerve root signs on postoperative lumbar MR imaging. A prospective cohort study with contrast enhanced MRI in symptomatic and asymptomatic patients one year after microdiscectomy. Acta Neurochir (Wien) 1999;141:619–22, discussion 623
    CrossRefPubMed
  5. Yukawa Y, Kato F, Kajino G, et al. Serial gadolinium-enhanced MR imaging after lumbar disc resection: observation of the affected root. J Spinal Disord 1997;10:404–09
    PubMed
  6. ↵
    Jinkins JR, Osborn AG, Garrett D, et al. Spinal nerve enhancement with Gd-DTPA: MR correlation with the postoperative lumbosacral spine. AJNR Am J Neuroradiol 1993;14:383–94
    Abstract/FREE Full Text
  7. ↵
    Grane P, Lindqvist M. Evaluation of the post-operative lumbar spine with MR imaging. The role of contrast enhancement and thickening in nerve roots. Acta Radiol 1997;38:1035–42
    PubMed
  8. ↵
    Grane P, Tullberg T, Rydberg J, et al. Postoperative lumbar MR imaging with contrast enhancement. Comparison between symptomatic and asymptomatic patients. Acta Radiol 1996;37:366–72
    PubMedWeb of Science
  9. ↵
    Georgy BA, Snow RD, Hesselink JR. MR imaging of spinal nerve roots: techniques, enhancement patterns, and imaging findings. AJR Am J Roentgenol 1996;166:173–77
    PubMed
  10. ↵
    Jinkins JR. MR of enhancing nerve roots in the unoperated lumbosacral spine. AJNR Am J Neuroradiol 1993;14:193–202
    Abstract/FREE Full Text
  11. ↵
    Toyone T, Takahashi K, Kitahara H, et al. Visualisation of symptomatic nerve roots. prospective study of contrast-enhanced MRI in patients with lumbar disc herniation. J Bone Joint Surg Br 1993;75:529–33
    PubMed
  12. ↵
    Costello RF, Beall D. Nomenclature and standard reporting terminology of intervertebral disk herniation. Magn Reson Imaging Clin N Am 2007;15:167–74
    CrossRefPubMed
  13. ↵
    Fardon DF, Milette PC. Nomenclature and classification of lumbar disc pathology. Recommendations of the Combined Task Forces of the North American Spine Society, American Society of Spine Radiology, and American Society of Neuroradiology. Spine 2001;26:E93–E113
    CrossRefPubMed
  14. ↵
    Ross JS, Robertson JT, Frederickson RC, et al. Association between peridural scar and recurrent radicular pain after lumbar discectomy: magnetic resonance evaluation. Neurosurgery 1996;38:855–61
    CrossRefPubMedWeb of Science
  15. ↵
    Tyrrell PN, Cassar-Pullicino VN, McCall IW. Gadolinium-DTPA enhancement of symptomatic nerve roots in MRI of the lumbar spine. Eur Radiol 1998;8:116–22
    CrossRefPubMed
  16. ↵
    Kobayashi S, Yoshizawa H, Hachiya Y, et al. Vasogenic edema induced by compression injury to the spinal nerve root. Distribution of intravenously injected protein tracers and gadolinium-enhanced magnetic resonance imaging. Spine 1993;18:1410–24
    PubMed
  17. ↵
    Tullberg T, Grane P, Isacson J. Gadolinium-enhanced magnetic resonance imaging of 36 patients one year after lumbar disc resection. Spine 1994;19:176–82
    PubMedWeb of Science
  18. ↵
    Von Goethem JW, Parizel PM, Jinkins JR. Review article: MRI of the postoperative lumbar spine. Neuroradiology 2002;44:723–39
    CrossRefPubMed
  19. ↵
    Taneichi H, Abumi K, Kaneda K, et al. Significance of Gd-DTPA-enhanced magnetic resonance imaging for lumbar disc herniation: the relationship between nerve root enhancement and clinical manifestations. J Spinal Disord 1994;7:153–60
    PubMed
  20. ↵
    Shapiro MD. MR imaging of the spine at 3 T. Magn Reson Imaging Clin N Am 2006;14:97–108
    CrossRefPubMed
  21. ↵
    Phalke VV, Gujar S, Quint DJ. Comparison of 3.0 T versus 1.5 T MR: imaging of the spine. Neuroimaging Clin N Am 2006;16:241–48
    CrossRefPubMed
  22. ↵
    Vroomen PC, Van Hapert SJ, Van Acker RE, et al. The clinical significance of gadolinium enhancement of lumbar disc herniations and nerve roots on preoperative MRI. Neuroradiology 1998;40:800–06
    CrossRefPubMed
  23. ↵
    Van de Kelft EJ, Van Goethem JW, De La Porte C, et al. Early postoperative gadolinium-DTPA-enhanced MR imaging after successful lumbar discectomy. Br J Neurosurg 1996;10:41–49
    CrossRefPubMed
  24. ↵
    Floris R, Spallone A, Aref TY, et al. Early postoperative MRI findings following surgery for herniated lumbar disc. Part II: A gadolinium-enhanced study. Acta Neurochir (Wien) 1997;139:1101–07
    CrossRefPubMed
  25. ↵
    Henk CB, Brodner W, Grampp S, et al. The postoperative spine. Top Magn Reson Imaging 1999;10:247–64
    CrossRefPubMed
  26. ↵
    Takata K, Inoue S, Takahashi K, et al. Swelling of the cauda equina in patients who have herniation of a lumbar disc. A possible pathogenesis of sciatica. J Bone Joint Surg Am 1988;70:361–68
    PubMed
  27. ↵
    Rydevik B, Brown MD, Lundborg G. Pathoanatomy and pathophysiology of nerve root compression. Spine 1984;9:7–15
    CrossRefPubMedWeb of Science
  28. ↵
    Pfirrmann CW, Dora C, Schmid MR, et al. MR image –based grading of lumbar nerve root compromise due to disk herniation: reliability study with surgical correlation. Radiology 2004;230:583–88
    CrossRefPubMedWeb of Science
  29. ↵
    Saunders WP, Truumees E. Imaging of the postoperative spine. Semin Ultrasound CT MRI 2004;25:523–35
    CrossRefPubMed
  30. ↵
    Coskun E, Süzer T, Topuz O, et al. Relationships between epidural fibrosis, pain, disability, and psychological factors after lumbar disc surgery. Eur Spine J 2000;9:218–23
    CrossRefPubMed
  31. ↵
    BenDebba M, Augustus van Alphen H, Long DM. Association between peridural scar and activity-related pain after lumbar discectomy. Neurol 1999;21  Suppl 1:S37–42
  32. ↵
    Almeida DB, Prandini MN, Awamura Y, et al. Outcome following lumbar disc surgery: the role of fibrosis. Acta Neurochir (Wien) 2008;150:1167–76
    CrossRefPubMed
  33. ↵
    Annertz M, Jonsson B, Stromqvist B, et al. No relationship between epidural fibrosis and sciatica in the lumbar postdiscectomy syndrome. A study with contrast-enhanced magnetic resonance imaging in symptomatic and asymptomatic patients. Spine 1995;20:449–53
    CrossRefPubMedWeb of Science
  


  
  



  




  


  
  



  
      
  
  

    
  


  
  



  
      
  
  

     Back to top  


  
  



			

		

		
		

			

			  

  
        
In this issue

    
  
  

    
  


  
  



  
      
  
  

    

  

    

  
      
  
  

    


Advertisement



  



  


  
  



  



  


  
  



  
      
  
  

    

	  
  

		

          

            

  
      
  
  

     Print  


  
  



  
      
  
  

     Download PDF  


  
  



  
      
  
  

    
 Email Article
  


  
  



  
      
  
  

    
 Citation Tools
  


  
  



          

        

        
        

          

            



  
      
  
  

    

  

    

  
      
  
  

    

  
  
  
  
      
Symptomatic Nerve Root Changes on Contrast-Enhanced MR Imaging after Surgery for Lumbar Disk Herniation
  
    	
Y.S. Lee, E.S. Choi, C.J. Song

  
    	
 American Journal of Neuroradiology May 2009, 30 (5) 1062-1067; DOI: 10.3174/ajnr.A1497 

  
  
  



  


  
  



  
      
  
  

    

  
    
  
  
    
  
  
    
  


  


  
  



  
      
  
  

    
del.icio.us logo Twitter logo Facebook logo Mendeley logo
  


  
  



  



  


  
  



  
      
  
  

    
  


  
  



          

        

	
 	
	
	


  


  
  



  
      
  
  

    
              Purchase  


  
  



  
        
Jump to section

    
  
  

    
  


  
  



  
      
  
  

    
  


  
  



			

		

	
	
 	
	
	


    

  



  

                
    

      

  

    

  
      
  
  

    


Advertisement