On-demand Webinar
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0.5 CME Credits
L-Spine Degenerative Changes
Lumbar degenerative disease is explored through disc abnormalities, stenosis, end-plate change, and postoperative imaging.
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Description
Consistent terminology frames the assessment of degenerative changes affecting the vertebral end plates, discs, facet joints, and supporting structures. Disc protrusion and extrusion, spinal and foraminal stenosis, important alternatives to degeneration, and the distinction between recurrent herniation and postoperative fibrosis are also explained.
Learning Objectives
- Describe lumbar degenerative findings with consistent disc and stenosis terminology.
- Differentiate common degenerative end-plate changes, disc abnormalities, and relevant mimics.
- Evaluate spinal and foraminal stenosis and distinguish recurrent herniation from postoperative fibrosis.
- Assess facet joints, ligaments, synovial cysts, and other non-disc contributors to lumbar symptoms.
Topics Covered
To jump to a specific chapter, click on the chapter title once the video is playing.
00:07 - Introduction to Degenerative Spine Disease
00:28 - Commonality and Misinterpretation of Imaging Findings
01:18 - Interpreting Spine Imaging: Vertebral Columns and Discs
02:02 - Degenerative Remodeling and Spinal Canal Stenosis
04:04 - Reactive End Plate Changes and Their Implications
08:08 - Differentiating End Plate Changes from Infections
10:51 - Understanding Degenerative Changes and Schmorl's Nodes
13:59 - Back Pain: Disc Herniations and Nomenclature
18:06 - Classifying Disc Herniations: Protrusion vs. Extrusion
20:47 - Annular Fissure and Pseudobulging in Spondylolisthesis
25:24 - Specific Disc Locations and Terminology Usage
33:36 - Unexpected Contributors to Back Pain: Ligaments and Cysts
40:25 - The Role of Facet Joints in Back Pain
46:41 - Evaluating Spinal and Foraminal Stenosis
48:46 - Postoperative Imaging: Disc Reherniation vs. Fibrosis
53:57 - Conclusion: Importance of Unified Terminology and Imaging the Entire Spine
Lecturers
Zoran RumboldtM.D. Ph.D.
Rovinj-Rovigno, Croatia
Consultant neuroradiologist at TMC; Professor of Radiology at University of Rijeka, Croatia; Adjunct Professor of Radiology at MUSC, Charleston, SC, USA
Over 20 years of experience in neuroradiology, previously Neuroradiology Section Chief and Fellowship Program Director at MUSC, Charleston, USA. Invited speaker at major meetings (RSNA, ECR, ARRS, ASNR, ESNR) from 2005, visiting professor on four continents from 2008, lecturer at various courses from 2013, including ECNR. Over 100 peer-reviewed articles; editor of books Brain Imaging with MRI and CT & Clinical Imaging of Spine Trauma; over 30 review articles and book chapters; awards for teaching since 2004.
