Category: Spine

Neutral seated This patient’s lumbar spine has a grade one anterolisthesis at the L4-5 level that is minimally unstable, and shows a reduction in annular height anteriorly on forward flexion, which increases when the spine is extended. Weight-bearing and variable patient positioning enables a more precise diagnosis. The Medserena open Upright MRI system permits scanning […]


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Neutral position: retroversion of odontoid peg This 37 year old patient has a history of neck pain, headaches and dizziness. There is retroversion of the odontoid peg and in the neutral position the cervical spine angle measures 0°, with a large range of movement into flexion, and evidence of spinal instability as manifest by anterolisthesis […]


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We are all aware that people are getting larger. Often accessing diagnostic imaging can be a challenge for larger patients as MRI scanners, for example, have a limit to the weight and size of person that can be accommodated. This patient was unable to be scanned in a conventional tunnel scanner due to their size. […]


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This case demonstrates the difference in diagnostic information yielded by performing an Upright seated examination in a 0.6Tesla MRIScanner, compared to the supine examination, performed on a conventional 1.5 Tesla scanner. This 74 year old lady had a lamenectomy 7 years ago. She now has severe low back pain and is unable to walk without pain. […]


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This elderly lady presented with very low back pain. Upright positional MRI was performed in a seated neutral position, flexion and extension. The selected T2  images show the fact that there is mobile subluxation of the coccyx at the sacro-coccygeal junction, with posterior movement of the coccygeal segments  in both neutral (Fig1) and extension views. […]


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For a year this 44-year-old female patient has been complaining about pain in the cervical spine region, radiating into head and face. The pain occurs mainly when standing and is especially severe in extension. After clinical examinations, a compression of the nerve root was suspected at segment C7. The patient underwent a conventional MRI examination […]


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For approximately one year, this 56-year-old female patient has experienced pain in the caudal lumbar region with a paravertebral radiation on both sides and laterally into the right lower extremity. The pain slightly diminishes when bending forward but remains while sitting or standing. A – C: Sagittal images in a sitting position: flexion, neutral, extension […]


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In 1999, this patient took a fall in a staircase and experienced a contusion of the myelin sheath. The fall resulted in paraplegia with a flaccid paresis of arms and legs. Clinical rehabilitation has lead to an incomplete restitution, spastic tetraparesis prevailing more on the right than on the left side of the body. A […]


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A 64-year-old male patient suffering from pain in the lumbar region received an X-Stop implant between L4/5 18 months ago, freeing him from pain. At present, the patient is complaining again about lumbar pain radiating to the buttocks and both upper legs. He does not experience pain when lying down; however, in a sitting or […]


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