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Sen KK, Batish VK, Saini M. NEED FOR PRECISE PROTOCOL IN MAGNETIC RESONANCE IMAGING OF THE POST OPERATIVE SPINE. Med J Armed Forces India. 2011;58(1):9-12doi: 10.1016/S0377-1237(02)80004-1.
Sen, K. K., Batish, V. K., & Saini, M. (2002). NEED FOR PRECISE PROTOCOL IN MAGNETIC RESONANCE IMAGING OF THE POST OPERATIVE SPINE. Medical journal, Armed Forces India, 58(1), 9-12. https://doi.org/10.1016/S0377-1237(02)80004-1
Sen, K K, et al. "NEED FOR PRECISE PROTOCOL IN MAGNETIC RESONANCE IMAGING OF THE POST OPERATIVE SPINE." Medical journal, Armed Forces India vol. 58,1 (2002): 9-12. doi: https://doi.org/10.1016/S0377-1237(02)80004-1
Sen KK, Batish VK, Saini M. NEED FOR PRECISE PROTOCOL IN MAGNETIC RESONANCE IMAGING OF THE POST OPERATIVE SPINE. Med J Armed Forces India. 2002 Jan;58(1):9-12. doi: 10.1016/S0377-1237(02)80004-1. Epub 2011 Jul 21. PMID: 27365651; PMCID: PMC4923965.
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Med J Armed Forces India. 2002 Jan;58(1):9-12. doi: 10.1016/S0377-1237(02)80004-1. Epub 2011 Jul 21.

NEED FOR PRECISE PROTOCOL IN MAGNETIC RESONANCE IMAGING OF THE POST OPERATIVE SPINE.

Medical journal, Armed Forces India

K K Sen, V K Batish, Mandeep Saini

Affiliations

  1. Classified Specialist (Radiodiagnosis), Command Hospital (Northern Command), C/o 56 APO, Delhi Cantt-110 010.
  2. Classified Specialist(Surgery & Neurosurgery), Army Hospital (R&R), Delhi Cantt-110 010.
  3. Graded Specialist (Radiodiagnosis), Military Hospital, Chennai.

PMID: 27365651 PMCID: PMC4923965 DOI: 10.1016/S0377-1237(02)80004-1

Abstract

Gadolinium enhanced Magnetic Resonance Imaging (MRI) for the evaluation of the post operative lumbo-sacral spine is a sensitive and specific imaging technique. A need for establishing a specific protocol for Failed Back Surgery Syndrome (FBSS) for use in the service hospitals is highlighted for convenience of patient management and preservation of active manpower. The MR scan of 50 patients performed over a span of six months, who complained of persistent low backache even after surgery, were retrospectively analysed. The specificity of this series using MRI in indicating the exact cause of FBSS was clocked at only 30%. The conditions diagnosed were rectifiable. The balance of the patients who could not be offered any specific diagnosis towards the cause, were being managed conservatively / placed in low medical category for a considerable period. It was noted with concern that there was non prevalence of sequence like the fast spin echo with gadolinium enhancement as a routine.

Keywords: Gadolinium; Magnetic Resonance Imaging; Post-operative spine

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