Understanding a mass in the paraspinal region: an anatomical approach
Abstract The paraspinal region encompasses all tissues around the spine. The regional anatomy is complex and includes the paraspinal muscles, spinal nerves, sympathetic chains, Batson’s venous plexus and a rich arterial network. A wide variety of pathologies can occur in the paraspinal region, origi...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
SpringerOpen
2023-07-01
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| Series: | Insights into Imaging |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13244-023-01462-1 |
| _version_ | 1797774159760064512 |
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| author | Maud Creze Jessica Ghaouche Gilles Missenard Thierry Lazure Guillaume Cluzel Matthieu Devilder Sylvain Briand Marc Soubeyrand Olivier Meyrignac Robert-Yves Carlier Charles Court Charlie Bouthors |
| author_facet | Maud Creze Jessica Ghaouche Gilles Missenard Thierry Lazure Guillaume Cluzel Matthieu Devilder Sylvain Briand Marc Soubeyrand Olivier Meyrignac Robert-Yves Carlier Charles Court Charlie Bouthors |
| author_sort | Maud Creze |
| collection | DOAJ |
| description | Abstract The paraspinal region encompasses all tissues around the spine. The regional anatomy is complex and includes the paraspinal muscles, spinal nerves, sympathetic chains, Batson’s venous plexus and a rich arterial network. A wide variety of pathologies can occur in the paraspinal region, originating either from paraspinal soft tissues or the vertebral column. The most common paraspinal benign neoplasms include lipomas, fibroblastic tumours and benign peripheral nerve sheath tumours. Tumour-like masses such as haematomas, extramedullary haematopoiesis or abscesses should be considered in patients with suggestive medical histories. Malignant neoplasms are less frequent than benign processes and include liposarcomas and undifferentiated sarcomas. Secondary and primary spinal tumours may present as midline expansile soft tissue masses invading the adjacent paraspinal region. Knowledge of the anatomy of the paraspinal region is of major importance since it allows understanding of the complex locoregional tumour spread that can occur via many adipose corridors, haematogenous pathways and direct contact. Paraspinal tumours can extend into other anatomical regions, such as the retroperitoneum, pleura, posterior mediastinum, intercostal space or extradural neural axis compartment. Imaging plays a crucial role in formulating a hypothesis regarding the aetiology of the mass and tumour staging, which informs preoperative planning. Understanding the complex relationship between the different elements and the imaging features of common paraspinal masses is fundamental to achieving a correct diagnosis and adequate patient management. This review gives an overview of the anatomy of the paraspinal region and describes imaging features of the main tumours and tumour-like lesions that occur in the region. |
| first_indexed | 2024-03-12T22:16:54Z |
| format | Article |
| id | doaj.art-743f150a9dac4f8e905769e6610cc65c |
| institution | Directory Open Access Journal |
| issn | 1869-4101 |
| language | English |
| last_indexed | 2024-03-12T22:16:54Z |
| publishDate | 2023-07-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Insights into Imaging |
| spelling | doaj.art-743f150a9dac4f8e905769e6610cc65c2023-07-23T11:16:35ZengSpringerOpenInsights into Imaging1869-41012023-07-0114113710.1186/s13244-023-01462-1Understanding a mass in the paraspinal region: an anatomical approachMaud Creze0Jessica Ghaouche1Gilles Missenard2Thierry Lazure3Guillaume Cluzel4Matthieu Devilder5Sylvain Briand6Marc Soubeyrand7Olivier Meyrignac8Robert-Yves Carlier9Charles Court10Charlie Bouthors11Department of Radiology, Assistance Publique des Hôpitaux de Paris, GH Université Paris- Saclay, DMU Smart Imaging, Bicêtre Teaching HospitalDepartment of Radiology, Assistance Publique des Hôpitaux de Paris, GH Université Paris- Saclay, DMU Smart Imaging, Bicêtre Teaching HospitalDepartment of Orthopedic Surgery, Assistance Publique des Hôpitaux de Paris, GH Université Paris-Saclay, DMU de Chirurgie Traumatologie Orthopédique-Chirurgie Plastique- Reconstruction, Bicêtre Teaching HospitalDepartment of Pathology, Assistance Publique des Hôpitaux de Paris, GH Université Paris-Saclay, DMU Smart Imaging, Bicêtre hospitalDepartment of Radiology, Assistance Publique des Hôpitaux de Paris, GH Université Paris- Saclay, DMU Smart Imaging, Bicêtre Teaching HospitalDepartment of Radiology, Assistance Publique des Hôpitaux de Paris, GH Université Paris- Saclay, DMU Smart Imaging, Bicêtre Teaching HospitalDepartment of Orthopedic Surgery, Assistance Publique des Hôpitaux de Paris, GH Université Paris-Saclay, DMU de Chirurgie Traumatologie Orthopédique-Chirurgie Plastique- Reconstruction, Bicêtre Teaching HospitalClinique Saint Jean L’Ermitage, SantépôleDepartment of Radiology, Assistance Publique des Hôpitaux de Paris, GH Université Paris- Saclay, DMU Smart Imaging, Bicêtre Teaching HospitalDepartment of Radiology, Assistance Publique des Hôpitaux de Paris, GH Université Paris- Saclay, DMU Smart Imaging, Garches Teaching HospitalDepartment of Orthopedic Surgery, Assistance Publique des Hôpitaux de Paris, GH Université Paris-Saclay, DMU de Chirurgie Traumatologie Orthopédique-Chirurgie Plastique- Reconstruction, Bicêtre Teaching HospitalDepartment of Orthopedic Surgery, Assistance Publique des Hôpitaux de Paris, GH Université Paris-Saclay, DMU de Chirurgie Traumatologie Orthopédique-Chirurgie Plastique- Reconstruction, Bicêtre Teaching HospitalAbstract The paraspinal region encompasses all tissues around the spine. The regional anatomy is complex and includes the paraspinal muscles, spinal nerves, sympathetic chains, Batson’s venous plexus and a rich arterial network. A wide variety of pathologies can occur in the paraspinal region, originating either from paraspinal soft tissues or the vertebral column. The most common paraspinal benign neoplasms include lipomas, fibroblastic tumours and benign peripheral nerve sheath tumours. Tumour-like masses such as haematomas, extramedullary haematopoiesis or abscesses should be considered in patients with suggestive medical histories. Malignant neoplasms are less frequent than benign processes and include liposarcomas and undifferentiated sarcomas. Secondary and primary spinal tumours may present as midline expansile soft tissue masses invading the adjacent paraspinal region. Knowledge of the anatomy of the paraspinal region is of major importance since it allows understanding of the complex locoregional tumour spread that can occur via many adipose corridors, haematogenous pathways and direct contact. Paraspinal tumours can extend into other anatomical regions, such as the retroperitoneum, pleura, posterior mediastinum, intercostal space or extradural neural axis compartment. Imaging plays a crucial role in formulating a hypothesis regarding the aetiology of the mass and tumour staging, which informs preoperative planning. Understanding the complex relationship between the different elements and the imaging features of common paraspinal masses is fundamental to achieving a correct diagnosis and adequate patient management. This review gives an overview of the anatomy of the paraspinal region and describes imaging features of the main tumours and tumour-like lesions that occur in the region.https://doi.org/10.1186/s13244-023-01462-1AnatomyImagingParaspinal muscleSoft tissue neoplasmSpinal neoplasm |
| spellingShingle | Maud Creze Jessica Ghaouche Gilles Missenard Thierry Lazure Guillaume Cluzel Matthieu Devilder Sylvain Briand Marc Soubeyrand Olivier Meyrignac Robert-Yves Carlier Charles Court Charlie Bouthors Understanding a mass in the paraspinal region: an anatomical approach Insights into Imaging Anatomy Imaging Paraspinal muscle Soft tissue neoplasm Spinal neoplasm |
| title | Understanding a mass in the paraspinal region: an anatomical approach |
| title_full | Understanding a mass in the paraspinal region: an anatomical approach |
| title_fullStr | Understanding a mass in the paraspinal region: an anatomical approach |
| title_full_unstemmed | Understanding a mass in the paraspinal region: an anatomical approach |
| title_short | Understanding a mass in the paraspinal region: an anatomical approach |
| title_sort | understanding a mass in the paraspinal region an anatomical approach |
| topic | Anatomy Imaging Paraspinal muscle Soft tissue neoplasm Spinal neoplasm |
| url | https://doi.org/10.1186/s13244-023-01462-1 |
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