What does a prior hemilaminectomy surgery site look like on MRI?

VRU 64(1): 95-104

Follow-up MRI appearance of the surgical site in dogs treated for thoracolumbar intervertebral disc herniation and showing ongoing or recurrent neurological symptoms

MRI characteristics of the surgical site in dogs with thoracolumbar intervertebral disc herniation (IVDH) and neurological signs were investigated in a retrospective, descriptive study. The study included 21 dogs with thoracolumbar IVDH, mostly chondrodystrophic breeds, and performed 42 MRI studies within a median of 335 days after surgery. The MRI studies showed susceptibility artifacts in 33% of the cases, mainly due to metallic material from drilling bone. The extradural material was markedly compressive in 11 cases, and the spinal cord was tethered in one case. The vertebral and paravertebral soft tissues showed new bone formation in 10 cases. The MRI findings varied according to the postoperative stage, with extradural material being more common in the early period and new bone formation being more common in the late period. The study concluded that MRI is a useful modality for imaging the surgical site in dogs with IVDH and neurological signs, but susceptibility artifacts may limit its diagnostic impact. The study also suggested that recurrence of neurological signs may be related to the presence of extradural material or other complications.

T1W transverse images of the same patient (case 17), pre-operative (A), and postoperative (B). The arrow points to the ventrally displaced left cranial articular process following left-sided mini-hemilaminectomy. A small bony defect in the left lamina of the vertebra is visible ventral to the affected articular process (arrowhead). Acquisition parameters: TR 950 (A and B) ms; TE 26 (A and B) ms; slice thickness 4 mm; slice gap 4 mm; 0.25T MRI

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