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Mri Ls Spine
Mri Ls Spine
Indications
Low back pain
Spinal trauma
Spinal tumors and/or vertebral metastasis
Infections
Inflamatory/autoimmune conditions
Suspected complications of spinal surgery
Congenital spinal malformations
Imaging
Sagittal:
T1W
T2W
STIR
Axial:
T2
Coronal:
T2W
STIR
Normal anatomy
Anterior column:
• Anterior portion of the vertebral body
• Anterior portion of the IV disc
• Anterior longitudinal ligament
Middle column:
• Posterior half of the vertebral body
• Posterior half of the IV disc
• Posterior longitudinal ligament
Posterior column:
• Pedicles
• Facet joints
• Laminae
• Spinous processes
• Ligamentum flavum
• Interspinous ligaments
Lumbar vertebrae
Vertebral end plate changes
• Modic classification:
Type I: Edematous changes related to
subchondral end plate fractures,
formation of vascularized fibrous
tissue and an acute reparative
response.