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Updated: May 20, 2026

Surgical Approach and Complications of Stand-alone Lateral Trans-Psoas Interbody Fusion
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Surgical Approach and Complications of Stand-alone Lateral Trans-Psoas Interbody Fusion

Published on: February 14, 2025

Spinal fusion-hardware construct: Basic concepts and imaging review.

Mohamed Ragab Nouh1

  • 1Mohamed Ragab Nouh, Department of Radiodiagnosis and Clinical Imaging, Faculty of Medicine, Alexandria University, Alexandria 21599, Egypt.

World Journal of Radiology
|July 5, 2012
PubMed
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Interpreting spinal images with metallic hardware is crucial for radiologists. This review guides imaging methods and complication identification for better patient care in spinal fixation and fusion procedures.

Area of Science:

  • Radiology
  • Medical Imaging
  • Orthopedic Surgery

Background:

  • Spinal imaging with metallic hardware is a growing area in radiology practice.
  • Familiarity with spinal fixation instrumentation and procedures is essential for accurate interpretation.
  • Radiologists play a key role in evaluating implant position and detecting complications.

Purpose of the Study:

  • To review common imaging methods for spinal implants.
  • To discuss the advantages and disadvantages of each imaging modality.
  • To guide radiologists in overcoming challenges posed by metallic hardware in spinal imaging.

Main Methods:

  • Review of commonly used imaging modalities (radiography, CT, MRI, nuclear medicine).
  • Analysis of imaging features of potential complications.
Keywords:
HardwareImagingInstrumentationSpinal fusionSpine

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  • Discussion of instrumentation and operative options in spinal fixation.

    • Main Results:

    • Baseline radiographs are critical for comparison with future studies.
    • A multi-modality approach is often necessary for comprehensive evaluation.
    • Specific imaging features can indicate complications related to spinal fusion surgery.

    Conclusions:

    • Understanding spinal instrumentation and imaging techniques is vital for radiologists.
    • Effective interpretation of spinal implants improves patient outcomes.
    • This knowledge aids radiologists in daily clinical practice involving spinal hardware.