The Radiopaedia Reading Room Podcast 43. Degenerative spine with Wende Gibbs and Matt Skalski
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Mar 18, 2024 Radiology experts discuss degenerative spine issues, lumbar X-ray interpretation course, surgical complications, fusion techniques, and the importance of clinical context in reporting. Humorous banter and calls to support Radiopaedia.
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Reporting Degenerative Spine Findings
- Obtain a patient history, including a pain diagram, to understand the clinical context.
- Focus reports on findings correlating with the provided history to avoid over-emphasizing incidental findings.
Spine Surgery for Canal Stenosis
- Canal stenosis often benefits from surgery, contrary to the common saying "never let a surgeon near your back".
- Surgical planning is crucial, as insufficient or excessive surgery can lead to failed back or instability, respectively.
Reporting Post-op Screw Positions
- If unsure about a screw position, describe it in the report without labeling it an error.
- Consult with the surgeon promptly to confirm if the position is acceptable or needs correction.