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The Diagnostic and the Therapeutic Utility of Radiology in Spinal Care

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Handbook of Spine Technology
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Abstract

Advancements in technology have been a driving force in the development of medical imaging equipment. There are now multiple, varied, and intertwined imaging modalities which visualize the spine in many different formats and positions. This has facilitated an increase in accuracy of diagnosis, and then at the same time allowed medical imaging to be an essential tool, in treatment of spinal conditions. Multiple image-guided therapies are now available to assist physicians/surgeons with treatment regimens and pre- and postoperative surgical planning. This chapter will detail the above.

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References

  • Ackerman WE 3rd, Ahmad M (2007) The efficacy of lumbar epidural steroid injections in patients with lumbar disc herniations. Anesth Analg 104(5):1217–1222. tables of contents

    Article  PubMed  Google Scholar 

  • Akuthota V, Bogduk N, Patel A, Prather H, et al (2013) Lumbar transforaminal epidural steroid injection review & recommendation statement. Review and Recommendation Statement Work Group. North American Spine Society, Burr Ridge, IL

    Google Scholar 

  • American society of Radiologic Technologists (2018) History of the American Society of Radiologic Technologists. Retrieved https://www.asrt.org/main/about-asrt/asrt-history. Accessed 7 June 2018

  • Amzallag-Bellenger E, Uyttenhove F, Nectoux E et al (2014) Idiopathic scoliosis in children and adolescents: assessment with a biplanar X-ray device. Insights Imaging 5(5):571–583. https://doi.org/10.1007/s13244-014-0354-0

    Article  PubMed  PubMed Central  Google Scholar 

  • Barnes PJ (1998) Anti-inflammatory actions of glucocorticoids: molecular mechanisms. Clin Sci (Lond) 94:557–572

    Article  CAS  Google Scholar 

  • Barr J, Lemley T, McCann R (2000) Percutaneous vertebroplasty for pain relief and spinal stabilization. Spine 25(8):923–928

    Article  CAS  PubMed  Google Scholar 

  • Binder D, Nampiaparampil D (2009) The provocative lumbar facet joint. Spaulding rehabilitation hospital, Harvard Medical School, Boston, MA USA. Curr Rev Musculoskelet Med 2(1):15–24. Published online 2009 Mar 31

    Article  PubMed  PubMed Central  Google Scholar 

  • Blasco J, Martinez-Ferrer A, Macho J et al (2012) Effect of vertebroplasty on pain relief, quality of life, and the incidence of new vertebral fractures: a 12-month randomized follow-up, controlled trial. J Bone Miner Res 27(5):1159–1166

    Article  PubMed  Google Scholar 

  • Bogduk N, Macintosh J, Marsland A (2011) Technical limitations to the efficacy of radiofrequency neurotomy for spinal pain. Neurosurgery 20(12):2160–2165

    Google Scholar 

  • Bogduk N, Aprill C, Derby R (2013) Lumbar discogenic pain: state-of-the-art review. Pain Med 14:813–836

    Article  PubMed  Google Scholar 

  • Boswell MV, Colson JD, Sehgal N et al (2007) A Systematic review of therapeutic facet joint interventions in chronic spinal pain. Pain Physician 10:229–253

    PubMed  Google Scholar 

  • Boszczyk BM, Boszczyk AA, Korge A et al (2003) Immunohistochemical analysis of the extracellular matrix in the posterior capsule of the zygapophysial joints in patients with degenerative L4-5 motion segment instability. J Neurosurg 99(1 Suppl):27–33

    PubMed  Google Scholar 

  • Buckingham JC, John CD, Solito E et al (2006) Annexin 1, glucocorticoids, and the neuroendocrine-immune interface. Ann N Y Acad Sci 1088:396–409

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Carmel A, Charles E, Samuels J, Backonja M (2007) Assessment: use of epidural steroid injections to treat radicular lumbosacral pain: report of the therapeutics and technology assessment subcommittee of the American Academy of Neurology. Neurology 68(10):723–729

    Article  CAS  Google Scholar 

  • Carragee EJ, Alamin TF (2001) Discography a review. Spine J 5:364–372

    Article  Google Scholar 

  • Cohen SP, Hurley RW (2007) The ability of diagnostic spinal injections to predict surgical outcomes. Anesth Analg 105:1756–1775

    Article  PubMed  Google Scholar 

  • Cohen SP, Raja SN (2007) Pathogenesis, diagnosis and treatment of lumbar zygapophysial (facet) joint pain. Anesthesiology 106:591–614

    Article  PubMed  Google Scholar 

  • Cohen SP, Barna SA, Larkin TM et al (2005) Lumbar discography: a comprehensive review of outcome studies, diagnostic accuracy and principles. Reg Anesth Pain Med 30:163–183

    PubMed  Google Scholar 

  • Colhoun E, McCall IW, Williams L, Cassar Pullicino VN (1988) Provocation discography as a guide to planning operations on the spine. J Bone Joint Surg 70-B(2):267–271

    Article  Google Scholar 

  • Costandi SJ, Azer G et al (2015) Cervical transforaminal epidural steroid injections: diagnostic and therapeutic value. Reg Anesth Pain Med 40(6):674–680

    Article  PubMed  Google Scholar 

  • D’Acquisto F, Paschalidis N, Raza K, Buckley CD, Flower RJ, Perretti M (2008) Glucocorticoid treatment inhibits annexin-1 expression in rheumatoid arthritis CD4+ T cells. Rheumatology (Oxford) 47:636–639

    Article  CAS  Google Scholar 

  • De Smet A, Jeffrey D, Stanczak J, Fine J et al (2005) Lumbar radiculopathy: treatment with selective lumbar nerve blocks – comparison of effectiveness of triamcinolone and betamethasone injectable suspensions. Radiology 237(2):738

    Article  PubMed  Google Scholar 

  • Derby R, Kim BJ, Chen Y, Seo KS, Lee SH (2005) The relation between annular disruption on computed tomography scan and pressure-controlled diskography. Arch Phys Med Rehabil 86:1534–1538

    Article  PubMed  Google Scholar 

  • Deschenes S, Charron G, Beaudoin G et al (2010) Diagnostic imaging of spinal deformities. Spine 35(9):989–994

    Article  PubMed  Google Scholar 

  • Dreyfuss P, Schwarzer A, Lau P et al (1997) Specificity of lumbar medial branch and L5 dorsal ramus blocks: a computed tomography study. Spine 22(8):p895–p902

    Article  Google Scholar 

  • Epstein NE, Baisden J (2012) The diagnosis and management of synovial cysts: efficacy of surgery versus cyst aspiration. Surg Neurol Int. https://doi.org/10.4103/2152-7806.98576

    Article  Google Scholar 

  • Evans AJ, Jensen ME, Kip KE, DeNardo AJ et al (2003) Vertebral compression fractures: pain reduction and improvement in functional mobility after percutaneous polymethylmethacrylate vertebroplasty retrospective report of 245 cases. Radiology 226(2):366–372

    Article  PubMed  Google Scholar 

  • Eymontt MJ, Gordon GV, Schumacher HR, Hansell JR (1982) The effects on synovial permeability and synovial fluid leukocyte counts in symptomatic osteoarthritis after intraarticular corticosteroid administration. Medline 9:198–203

    CAS  Google Scholar 

  • Forst S, Wheeler MT, Fortin JD, Vilensky JA (2006) The sacroiliac joint: anatomy, physiology and clinical significance. Pain Physician 9(1):61–67

    PubMed  Google Scholar 

  • Furunes H, Hellum C, Brox JI et al (2018) Lumbar total disc replacement: predictors for long-term outcome. Eur Spine J 27(3):709–718. https://doi.org/10.1007/s00586-017-5375-1

    Article  PubMed  Google Scholar 

  • Gallagher J, Petriccione di Vadi PL, Wedley JR et al (1994) Radiofrequency facet joint denervation in the treatment of low back pain: a prospective controlled double-blind study to assess its efficacy. Pain Clin 7:193–199

    Google Scholar 

  • Gates GF (1988) SPECT imaging of the lumbosacral spine and pelvis. Clin Nucl Med 13(12):907–914

    Article  CAS  PubMed  Google Scholar 

  • Gates GF (1998) SPECT bone scanning of the spine. Semin Nucl Med 28(1):78–94

    Article  CAS  PubMed  Google Scholar 

  • Goodbody C, Kedem P, Thompson M et al (2017) Reliability and reproducibility of subject positioning with EOS low-dose biplanar X-ray. HSS J 13(3):263–266. https://doi.org/10.1007/s11420-017-9548-6

    Article  PubMed  PubMed Central  Google Scholar 

  • Gunduz OH, Sencan S, Kenis-Coskun O (2015) Pain relief due to transsacrococcygeal ganglion impar block in chronic coccygodynia: a pilot study. Pain Med 16(7):1278–1281. https://doi.org/10.1111/pme.12752

    Article  PubMed  Google Scholar 

  • Ha AS, Petscavage-Thomas JM (2014) Imaging of current spinal hardware: lumbar spine. Am J Roentgenol 203(3):573–581. https://doi.org/10.2214/AJR.13.12217

    Article  Google Scholar 

  • Hansen HC, McKenzie-Brown AM, Cohen SP et al (2007) Sacroiliac joint interventions: a systematic review. Pain Physician 10(1):165–184

    PubMed  Google Scholar 

  • Hendee WR, O’Connor MK (2012) Radiation risks of medical imaging: separating fact from fantasy radiology. Radiology 264(2). https://doi.org/10.1148/radiol.12112678

    Article  PubMed  Google Scholar 

  • Hodges SD, Eck JC, Humphreys SC (2004) A treatment and outcomes analysis of patients with coccydynia. Spine J 4(2):138–140

    Article  PubMed  Google Scholar 

  • Howard P, Behrns W, Di Martino M et al (2013) Manual examination in the diagnosis of cervicogenic headache: a systematic literature review. J Man Manip Ther 23(4):210–218

    Article  Google Scholar 

  • Imai K, Nakamura K, Inokuchi K, Oda H (1998) Aspiration of intraspinal synovial cyst: recurrence after temporal improvement. Arch Orthop Trauma Surg 118:103–105

    Article  CAS  PubMed  Google Scholar 

  • Jackson RP, Jacobs RR, Montesano PX (1988) Facet joint injection in low-back pain. A prospective statistical study. Spine 13:966–971

    Article  CAS  PubMed  Google Scholar 

  • Joo YC et al (2013) Comparison of alcohol ablation with repeated thermal radiofrequency ablation in medial branch neurotomy for the treatment of recurrent thoracolumbar facet joint pain. J Anesth 3:390–395. https://doi.org/10.1007/s00540-012-1525-0

    Article  Google Scholar 

  • Kamble PC, Sharma A, Singh V et al (2016) Outcome of single level disc prolapse treated with transforaminal steroid versus epidural steroid versus caudal steroids. Eur Spine J 25(1):217–221

    Article  PubMed  Google Scholar 

  • Kaye AD, Manchikanti L, Abdi S et al (2015) Efficacy of epidural injections in managing chronic spinal pain: a best evidence synthesis. Pain Physician 18(6):E939–E1004

    PubMed  Google Scholar 

  • Kim T, Kim K, Kim C, Shin S et al (2005) Percutaneous vertebroplasty and facet joint block. J Korean Med Sci 20(6):1023–1028

    Article  PubMed  PubMed Central  Google Scholar 

  • Kitchen D, Rao PJ, Zotti M et al (2018) Fusion assessment by MRI in comparison with CT in anterior lumbar interbody fusion: a prospective study. Glob Spine J 8:586

    Article  Google Scholar 

  • Kroll H, Duszak R, Nsiah E et al (2008) Trends in lumbar puncture over 2 decades: a dramatic shift to radiology. Am J Roentgenol 204(1):15–19

    Article  Google Scholar 

  • Laredo J, Wybier M, Bellaiche L et al (2010) Know-how in osteoarticular radiology. Sauramps Med 12:1–9

    Google Scholar 

  • Le Huec JC, Mathews H, Basso Y et al (2005) Clinical results of Maverick lumbar total disc replacement: two-year prospective follow-up. Orthop Clin North Am 36(3):315–322

    Article  PubMed  Google Scholar 

  • Lee JH, Moon J, Lee SH (2009) Comparison of effectiveness according to different approaches of epidural steroid injection in lumbosacral herniated disk and spinal stenosis. J Musculoskelet Rehab 22(2):83–89

    Article  Google Scholar 

  • Lutz G et al (1998) Fluoroscopic transforaminal lumbar epidural steroids: an outcome study. Arch Phys Med Rehabil 79(11):1362–1366

    Article  CAS  PubMed  Google Scholar 

  • MacMahon P, Eustace S, Kavanagh E (2009) Injectable corticosteroid and local anesthetic preparations: a review for radiologists. Radiology 252(3):647–661. https://doi.org/10.1148/radiol.2523081929

    Article  PubMed  Google Scholar 

  • MacVicar J, King W, Landers MH, Bogduk N (2013) The effectiveness of lumbar transforaminal injection of steroids: a comprehensive review with systematic analysis of the published sata. Pain Med 14(1):14–28. https://doi.org/10.1111/j.1526-4637.2012.01508.x

    Article  PubMed  Google Scholar 

  • Madan S, Gundanna M, Harley JM et al (2002) Does provocative discography screening of discogenic back pain improve surgical outcomes? J Spinal Disord Tech 15:245–251

    Article  PubMed  Google Scholar 

  • Maigne JY, Pigeau I, Aguer N et al (2011) Chronic coccydynia in adolescents. A series of 53 patients. Eur J Phys Rehabil Med 47(2):245–251

    PubMed  Google Scholar 

  • Malham G (2018) Modic 2 changes and smoking predict vascular adherence during anterior lumbar exposure. Presented Sunday 28th April at Spine Society of Australia annual scientific meeting, Adelaide

    Google Scholar 

  • Manchikanti L (2008) Evidence-based medicine, systematic reviews, and guidelines in interventional pain management, part I: introduction and general considerations. Pain Physician 11(2):161–186

    Google Scholar 

  • Manchikanti L, Pampati V, Bakhit CE et al (2001) Effectiveness of lumbar facet joint nerve blocks in chronic low back pain: a randomized clinical trial. Pain Physician 4(1):101–117

    CAS  PubMed  Google Scholar 

  • Manchikanti L, Singh V, Falco FJE, Cash KA, Pampati V (2010) Evaluation of lumbar facet joint nerve blocks in managing chronic low back pain: a randomized, double-blind, controlled trial with a 2-year follow-up. Int J Med Sci 7(3):124–135

    Article  PubMed  PubMed Central  Google Scholar 

  • Manchikanti L, Cash KA, Pampati V, Falco FJ (2014) Transforaminal epidural injections in chronic lumbar disc herniation: a randomized, double-blind, active-control trial. Pain Physician 17(4):E489–E501

    PubMed  Google Scholar 

  • Manchikanti L, Kaye AD, Boswell MV et al (2015a) A systematic review and best evidence synthesis of the effectiveness of therapeutic facet joint interventions in managing chronic spinal pain. Pain Physician 18(4):E535–E582

    PubMed  Google Scholar 

  • Manchikanti L, Pampati V, Benjamin RM, Boswell MV (2015b) Analysis of efficacy differences between caudal and lumbar interlaminar epidural injections in chronic lumbar axial discogenic pain: local anesthetic alone vs. local combined with steroids. Int J Med Sci 12(3):214–222. https://doi.org/10.7150/ijms.10870

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Margetic P, Pavic R, Stancic MF (2013) Provocative discography screening improves surgical outcome. Wien Klin Wochenschr 125(19–20):600–610

    Article  PubMed  Google Scholar 

  • Marks RC, Houston T, Thulbourne T (1992) Facet joint injection and facet nerve block: a randomised comparison in 86 patients with chronic low back pain. Pain 49(3):325–328

    Article  CAS  PubMed  Google Scholar 

  • Maugars Y, Mathis C, Berthelot JM et al (1996) Assessment of the efficacy of sacroiliac corticosteroid injections in spondylarthropathies: a double-blind study. Br J Rheumatol 35(8):767–770

    Article  CAS  PubMed  Google Scholar 

  • McKenzie-Brown AM, Shah RV, Sehgal N, Everett CR (2005) A systematic review of sacroiliac joint interventions. Pain Physician 8(1):115–125

    PubMed  Google Scholar 

  • Modic MT, Steinberg PM, Ross JS, Masaryk TJ, Carter JR (1988) Degenerative disk disease: assessment of changes in vertebral body marrow with MR imaging. Radiology 166:193–199

    Article  CAS  PubMed  Google Scholar 

  • Ng L, Chaudhary N, Sell P (2005) The efficacy of corticosteroids in periradicular infiltration for chronic radicular pain: a randomized, double-blind, controlled trial. Spine (Phila Pa 1976) 30(8):857–862

    Article  Google Scholar 

  • Ohnmeiss DD, Vanharanta H, Guyer RD (1995) The association between pain drawings and computed tomographic/discographic pain responses. Spine (Phila Pa 1976) 20:729–733

    Article  CAS  Google Scholar 

  • Peng B, Hou S, Wu W, Zhang C, Yang Y (2006) The pathogenesis and clinical significance of a high-intensity zone (HIZ) of lumbar intervertebral disc on MR imaging in the patient with discogenic low back pain. Eur Spine J 15:583–587

    Article  PubMed  Google Scholar 

  • Rahme R and Moussa R (2008) The Modic Vertebral Endplate and Marrow Changes: Pathologic Significance and Relation to Low Back Pain and Segmental Instability of the Lumbar Spine Am J Neuroradiol 29(5):838–842. https://doi.org/10.3174/ajnr.A0925

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Rauchwerger JJ, Candido KD, Zoarski GH (2011) Technical and imaging report: fluoroscopic guidance for diagnosis and treatment of lumbar synovial cyst. Pain Pract 11:180–184

    Article  PubMed  Google Scholar 

  • Resnick D, Choudhri TF et al (2005) Guidelines for the performance fusion procedures for degenerative disease of the lumbar spine. Spine 2:662–669

    PubMed  Google Scholar 

  • Rupert MP, Lee M, Manchikanti L et al (2009) Evaluation of sacroiliac joint interventions: a systematic appraisal of the literature. Pain Physician 12(2):399–418

    PubMed  Google Scholar 

  • Sabers SR, Ross SR, Grogg BE, Lauder TD (2005) Procedure-based nonsurgical management of lumbar zygapophyseal joint cyst-induced radicular pain. Arch Phys Med Rehabil 86:1767–1771

    Article  PubMed  Google Scholar 

  • Saboeiro GR (2009) Lumbar discography. Radiol Clin N Am 47(3):421–433

    Article  PubMed  Google Scholar 

  • Sachs BL, Vanharanta H et al (1987) Dallas discogram description. A new classification of CT/discography in low-back disorders. Spine 12:288–294. (Table 2, page 288)

    Article  Google Scholar 

  • Salahadin A, Sukdeb D, Schultz D, Rajive A et al (2007) Epidural steroids in the management of chronic spinal pain: a systematic review. Pain Physician 10:185–212

    Google Scholar 

  • Schofferman J, Kine G (2004) Effectiveness of repeated radiofrequency neurotomy for lumbar facet pain. Spine (Phila Pa 1976) 29(21):2471–2473

    Article  Google Scholar 

  • Schulz C, Danz B, Waldeck S et al (2011) Percutaneous CT-guided destruction versus microsurgical resection of lumbar juxtafacet cysts. Orthopade 40:600–606

    Article  CAS  PubMed  Google Scholar 

  • Schwarzer AC, Aprill CN, Derby R et al (1994) Clinical features of patients with pain stemming from the lumbar zygapophysial joints. Is the lumbar facet syndrome a clinical entity? Spine 19:1132–1137

    Article  CAS  PubMed  Google Scholar 

  • Schwarzer AC, Aprill CN, Derby R et al (1997) International Spinal Injection Society guidelines for the performance of spinal injection procedures: I. Zygapophysial joint blocks. Clin J Pain 13:285–302

    Article  Google Scholar 

  • Sehgal N, Dunbar EE, Shah RV, Colson J (2007a) Systematic review of the diagnostic utility of facet (zygoapophysial) joint injections in chronic spinal pain: an update. Pain Physician 10:213–228

    PubMed  Google Scholar 

  • Sehgal N, Rinoo V, Colson J. (2007b) Chronic pain treatment with opioid analgesics: benefits versus harms of long-term therapy. Expert Rev Neurother 13(11):213–228

    Article  CAS  PubMed  Google Scholar 

  • Shah RV, Lutz GE (2003) Lumbar intraspinal synovial cysts: conservative management and review of the world's literature. Spine J 3:479–488

    Article  PubMed  Google Scholar 

  • Slipman CW, Lipetz JS, Jackson HB et al (2000) Therapeutic selective nerve root block in the nonsurgical treatment of atraumatic cervical spondylotic radicular pain: a retrospective analysis with independent clinical review. Arch Phys Med Rehabil 81:741–746

    Article  CAS  PubMed  Google Scholar 

  • Son JH, Kim SD, Kim SH, Lim DJ, Park JY (2010) The efficacy of repeated radiofrequency medial branch neurotomy for lumbar facet syndrome. J Korean Neurosurg Soc 48(3):240–243

    Article  PubMed  PubMed Central  Google Scholar 

  • Storheim K, Berg L, Hellum C et al (2017) Fat in the lumbar multifidus muscles – predictive value and change following disc prosthesis surgery and multidisciplinary rehabilitation in patients with chronic low back pain and degenerative disc: 2-year follow-up of a randomized trial. BMC Musculoskelet Disord 18:145

    Article  PubMed  PubMed Central  Google Scholar 

  • Tekin I, Mirzai H, Ok G et al (2007) A comparison of conventional and pulsed radiofrequency denervation in the treatment of chronic facet joint pain. Clin J Pain 23(6):524–529

    Article  PubMed  Google Scholar 

  • Thomas E, Cyteval C, Abiad L et al (2003) Efficacy of transforaminal versus interspinous corticosteroid injection discal radiculalgia – a prospective, randomised, double-blind study. Clin Rheumatol 22(4–5):299–304

    Article  CAS  PubMed  Google Scholar 

  • Vad VB, Bhat AL, Lutz GE, Cammisa F (2002) Transforaminal epidural steroid injections in lumbosacral radiculopathy a prospective randomized study. Spine 27(1):11–16

    Article  PubMed  Google Scholar 

  • Vallee JN, Feydy A, Carlier RY et al (2001) Chronic cervical radiculopathy: lateral approach periradicular corticosteroid injection. Radiology 218:886–892

    Article  CAS  PubMed  Google Scholar 

  • van Kleef M, Barendse GA, Kessels A et al (1999) Randomized trial of radiofrequency lumbar facet denervation for chronic low back pain. Spine (Phila Pa 1976) 24(18):1937–1942

    Article  Google Scholar 

  • van Kleef M, Barendse GA, Kessels A et al (2005) Radiofrequency denervation of lumbar facet joints in the treatment of chronic low back pain: a randomized, double-blind, sham lesion-controlled trial. Clin J Pain 21:335–344

    Article  Google Scholar 

  • Van Tilburg CWJ, Stronks DL, Groeneweg JG et al (2016) Randomised sham-controlled double-blind multicentre clinical trial to ascertain the effect of percutaneous radiofrequency treatment for lumbar facet joint pain. Bone Joint J 98-B(11):1526–1533

    Article  PubMed  Google Scholar 

  • Walsh TR, Weinstein JN, Spratt KF et al (1990) Lumbar discography in normal subjects. A controlled, prospective study. J Bone Joint Surg Am 72:1081–1088

    Article  CAS  PubMed  Google Scholar 

  • Xi MA, Tong HC, Fahim DK, Perez-Cruet M (2016) Using provocative discography and computed tomography to select patients with refractory discogenic low back pain for lumbar fusion surgery. Cureus 8(2):e514

    PubMed  PubMed Central  Google Scholar 

  • Younger J, McCue R, Mackey S (2009) Pain outcomes: a brief review of instruments and techniques. Curr Pain Headache Rep 13(1):39–43

    Article  PubMed  PubMed Central  Google Scholar 

  • Zotti MGT, Osti OL (2010) Repeat percutaneous radiofrequency facet joint denervation for chronic back pain: a prospective study. J Musculoskelet Pain 18(2):153–158

    Article  Google Scholar 

  • Zotti VA, Zotti MGT, Worswick D (2012) Obtaining informed medical consent: a legal perspective. Bulletin (Law Soc South Australia) 34(1):22–24

    Google Scholar 

  • Zotti MGT, Boas FV, Clifton T et al (2017) Does pre-operative magnetic resonance imaging of the lumbar multifidus muscle predict clinical outcomes following lumbar spinal decompression for symptomatic spinal stenosis? Eur Spine J 26(1):2589–2597

    Article  PubMed  Google Scholar 

  • Zuo J, Joseph GB, Li X et al (2012) In-vivo intervertebral disc characterization using magnetic resonance spectroscopy and T imaging: association with discography and Oswestry disability index and SF–36. Spine 37(3):214–221

    Article  PubMed  PubMed Central  Google Scholar 

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Lee, M., Zotti, M.G.T. (2019). The Diagnostic and the Therapeutic Utility of Radiology in Spinal Care. In: Cheng, B. (eds) Handbook of Spine Technology. Springer, Cham. https://doi.org/10.1007/978-3-319-33037-2_83-1

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