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SPECT/CT in failed back syndrome

¹ Nuclear Medicine, William Beaumont Hospital, Troy, Michigan

752

Learning Objectives: 1. To understand the use SPECT/CT to evaluate common disorders causing back pain in failed back syndrome. 2. Pattern recognition on SPECT/CT following laminectomy, common spine stabilization devices and instrumentation for increased diagnostic specificity. 3. To understand the use of SPECT/CT in evaluation of back pain in patients without surgical backs.

Abstract Body: Back pain is a major health problem costing millions of health dollars annually. It accounts for 14% of new patient visits to primary care doctors. 15% of workman’s compensation is related to back pain. 300,000 laminectomies are performed annually with up to 40% of patients complaining of back pain at some time post-surgery causing ‘Failed Back Syndrome’. Diagnosis in these patients may be complex even with good physical examination, planar scintigraphy or radiography because the symptomatology may include a combination of possible presurgical abnormalities and post-operative complications related to loosening of instrumentation device, infection and pseudoarthrosis. This exhibit will illustrate the abnormal patterns seen on SPECT/CT in cases of failed back syndrome which are not always evident on CT/MRI or scintigraphy alone.

This Article Services Email this article to a friend Similar articles in this journal Alert me to new issues of the journal Download to citation manager Google Scholar Articles by Bajaj, S. Articles by Balon, H. PubMed Articles by Bajaj, S. Articles by Balon, H.