SPECT/CT imaging for diagnosis and management of failed cervical spine surgery syndrome
Objectives: To investigate the use of SPECT/CT imaging in patients who had postoperative neck pain after cervical fusion procedures and to devise an appropriate treatment strategy for this patient population. Methods: 23 patients (8 male, 15 female) with postoperative neck pain were included in this...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-06-01
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| Series: | Interdisciplinary Neurosurgery |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214751922002134 |
| _version_ | 1797867409112039424 |
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| author | Vadym Shapovalov Bjorn Lobo Mark Liker |
| author_facet | Vadym Shapovalov Bjorn Lobo Mark Liker |
| author_sort | Vadym Shapovalov |
| collection | DOAJ |
| description | Objectives: To investigate the use of SPECT/CT imaging in patients who had postoperative neck pain after cervical fusion procedures and to devise an appropriate treatment strategy for this patient population. Methods: 23 patients (8 male, 15 female) with postoperative neck pain were included in this study. Average age of patient was 60 ± 2.11 years. All patients underwent prior cervical fusion surgery and after at least 1 year of postoperative observation continue to suffer unremitting and debilitating neck pain with or without non-dermatomal arm pain. All patients underwent postoperative imaging studies including MRI and CT scan. If no clear origin of pain was detected, SPECT/CT imaging was obtained. Average number of years from prior surgery to SPECT/CT scanning was 5.5 ± 1.1 years. Preoperative VAS score averaged 8.39 ± 0.29 for this patient cohort. Results: Of the 23 patients who underwent SPECT/CT due to inadequacy of diagnosis based on anatomic studies, 15 patients underwent cervical spine surgery. Eight patients were referred to pain management based on SPECT/CT imaging and clinical symptomatology. 6 surgeries were anterior and 9 were posterior. Last follow-up evaluation after revision surgery was at 12 months. Average VAS scores declined after revision surgery to 4.74 ± 0.5. Conclusion: Identification of postoperative spinal surgery pain is necessary to design the appropriate intervention. Patients seen in our practice suffering from failed cervical spinal surgery syndrome and offered SPECT/CT imaging leading to the identification of a focus of surgical treatment experienced significant reduction in VAS scores after revision surgery. |
| first_indexed | 2024-04-09T23:40:50Z |
| format | Article |
| id | doaj.art-b270de6def5943b6a9a4c44c651e7320 |
| institution | Directory Open Access Journal |
| issn | 2214-7519 |
| language | English |
| last_indexed | 2024-04-09T23:40:50Z |
| publishDate | 2023-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Interdisciplinary Neurosurgery |
| spelling | doaj.art-b270de6def5943b6a9a4c44c651e73202023-03-19T04:37:47ZengElsevierInterdisciplinary Neurosurgery2214-75192023-06-0132101699SPECT/CT imaging for diagnosis and management of failed cervical spine surgery syndromeVadym Shapovalov0Bjorn Lobo1Mark Liker2California Neurosurgical Institute, 23929 McBean Parkway, Suite 215, Valencia, CA, United States; Corresponding author.California Neurosurgical Institute, 23929 McBean Parkway, Suite 215, Valencia, CA, United StatesCalifornia Neurosurgical Institute, 23929 McBean Parkway, Suite 215, Valencia, CA, United States; USC Keck School of Medicine, Department of Neurosurgery, 90033, 1975 Zonal Ave, Los Angeles, CA, United StatesObjectives: To investigate the use of SPECT/CT imaging in patients who had postoperative neck pain after cervical fusion procedures and to devise an appropriate treatment strategy for this patient population. Methods: 23 patients (8 male, 15 female) with postoperative neck pain were included in this study. Average age of patient was 60 ± 2.11 years. All patients underwent prior cervical fusion surgery and after at least 1 year of postoperative observation continue to suffer unremitting and debilitating neck pain with or without non-dermatomal arm pain. All patients underwent postoperative imaging studies including MRI and CT scan. If no clear origin of pain was detected, SPECT/CT imaging was obtained. Average number of years from prior surgery to SPECT/CT scanning was 5.5 ± 1.1 years. Preoperative VAS score averaged 8.39 ± 0.29 for this patient cohort. Results: Of the 23 patients who underwent SPECT/CT due to inadequacy of diagnosis based on anatomic studies, 15 patients underwent cervical spine surgery. Eight patients were referred to pain management based on SPECT/CT imaging and clinical symptomatology. 6 surgeries were anterior and 9 were posterior. Last follow-up evaluation after revision surgery was at 12 months. Average VAS scores declined after revision surgery to 4.74 ± 0.5. Conclusion: Identification of postoperative spinal surgery pain is necessary to design the appropriate intervention. Patients seen in our practice suffering from failed cervical spinal surgery syndrome and offered SPECT/CT imaging leading to the identification of a focus of surgical treatment experienced significant reduction in VAS scores after revision surgery.http://www.sciencedirect.com/science/article/pii/S2214751922002134Neck painFailed spinal surgery syndromeTc-99 SPECT/CT scan |
| spellingShingle | Vadym Shapovalov Bjorn Lobo Mark Liker SPECT/CT imaging for diagnosis and management of failed cervical spine surgery syndrome Interdisciplinary Neurosurgery Neck pain Failed spinal surgery syndrome Tc-99 SPECT/CT scan |
| title | SPECT/CT imaging for diagnosis and management of failed cervical spine surgery syndrome |
| title_full | SPECT/CT imaging for diagnosis and management of failed cervical spine surgery syndrome |
| title_fullStr | SPECT/CT imaging for diagnosis and management of failed cervical spine surgery syndrome |
| title_full_unstemmed | SPECT/CT imaging for diagnosis and management of failed cervical spine surgery syndrome |
| title_short | SPECT/CT imaging for diagnosis and management of failed cervical spine surgery syndrome |
| title_sort | spect ct imaging for diagnosis and management of failed cervical spine surgery syndrome |
| topic | Neck pain Failed spinal surgery syndrome Tc-99 SPECT/CT scan |
| url | http://www.sciencedirect.com/science/article/pii/S2214751922002134 |
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