Library

EVALUATION OF SPINAL LESIONS: A SYSTEMIC APPROACH BY COMPARTMENT 2010

General Spine

Huy, D, Tran, M.D.

Poster

Purpose

Overview of commonly and uncomomly seen spinal lesions. Understanding the systemic approach to evaluate these lesions by identifying compartments where they are located.

Methods & Materials

CT or MR studies are the main imaging modalities used. Method for modality selection, which is usually based on initial clinical presentation, will be discussed. CT and MR
images will be used for illustrations.

Results

Approach to evaluating spinal lesions can be based on their commonly
located spinal compartments. There are 3 spinal compartments: extradural,
intradural extramedullary and intramedullary. CT and/or MR studies can provides great characterization of the Lesions. When correlating with clinical history and patient age, the differential diagnosis of the lesions can often be further narrowed down.

Conclusion

Differential diagnosis for spinal lesions can be broad. Methodical
approach based on compartment where the lesions located is helpful.
MR or CT studies are often used; they can greatly characterize the lesions. Definitive or near definitive diagnosis can often be made from imaging studies
when correlate with clinical presentation and direct further clinical or surgical management.