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Related Experiment Videos

Can scintigraphy explain prolonged postoperative neck pain?

Ahmet Cetinkal1, Serdar Kaya, Murat Kutlay

  • 1Kasimpasa Military Hospital, Department of Neurosurgery, Istanbul, Turkey.

Turkish Neurosurgery
|December 24, 2011
PubMed
Summary

Prolonged neck pain after anterior cervical fusion may indicate pseudoarthrosis. Bone SPECT imaging showing increased nuclear agent uptake can help diagnose this complication, correlating with pain severity.

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Area of Science:

  • Orthopedics
  • Nuclear Medicine
  • Spinal Surgery

Background:

  • Anterior cervical fusion is a common spinal surgery.
  • Pseudoarthrosis rates after these procedures range from 3% to 36%.
  • Diagnosis typically relies on pain, radiographic instability, and loss of fixation.

Purpose of the Study:

  • To investigate the utility of bone SPECT imaging in diagnosing pseudoarthrosis after anterior cervical fusion.
  • To explore the correlation between scintigraphic findings and clinical outcomes, specifically neck pain.

Main Methods:

  • Nine patients with prolonged postoperative neck pain following single-level anterior cervical fusion for degenerative disc disease were studied.
  • All patients underwent technetium-99m-hydroxymethylene diphosphonate (99mTc-HMDP) bone SPECT after the twelfth postoperative month.

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Main Results:

  • A correlation was observed between the severity of neck pain and the fusion status.
  • Increased and prolonged uptake of the nuclear agent on bone SPECT was noted.

Conclusions:

  • Increased and prolonged nuclear agent uptake on bone SPECT suggests potential pseudoarthrosis, even with apparent radiographic fusion.
  • This scintigraphic finding warrants suspicion and further investigation, particularly when correlated with persistent pain.