Imaging of intervertebral disc prostheses

Abstract Disc arthroplasty is the replacement of a painful pathological intervertebral disc by a prosthesis, which, unlike spinal fixation, has the advantage of retaining vertebral mobility in the segment concerned. The success of the procedure is dictated by the indication. The radiologist must loo...

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Bibliographic Details
Published in:Diagnostic and interventional imaging 2012, Vol.93 (1), p.10-21
Main Authors: Amoretti, N, Iannessi, A, Lesbats, V, Marcy, P.-Y, Hovorka, E, Bronsard, N, Fonquerne, M.-E, Hauger, O
Format: Article
Language:English
Subjects:
Diagnostic imaging
Disc arthroplasty
Disc degeneration
Humans
Intervertebral Disc - diagnostic imaging
Intervertebral Disc - surgery
Joint Prosthesis
Lumbar pain
Prosthesis Design
Radiography
Radiology
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Summary:Abstract Disc arthroplasty is the replacement of a painful pathological intervertebral disc by a prosthesis, which, unlike spinal fixation, has the advantage of retaining vertebral mobility in the segment concerned. The success of the procedure is dictated by the indication. The radiologist must look for radiographic arguments indicating or contraindicating fitting an implant, and particularly for the presence of facet arthritis which will prompt the surgeon to choose an arthrodesis. Moreover, radiological information plays a major part in preparing for a surgical procedure, as far as access to the disc via the anterior approach is concerned and assessment by CT angiography of the risk of vascular complications. After insertion, radiological monitoring using dynamic X-ray images checks that the implant is correctly positioned and that mobility is restored. In the long term, it can detect complications related to the prosthesis and premature wear to other points of support such as adjacent discs and the facet joints.
ISSN:2211-5684
2211-5684
DOI:10.1016/j.diii.2011.10.001