doi: 10.3174/ajnr.A7799.
Online ahead of print.
Affiliations
Affiliations
- 1 From the Departments of Radiology and Imaging (F.A., E.T.T., D.B.S., J.L.C.).
- 2 Spine Surgery (F.A., D.R.L.), Hospital for Special Surgery, New York, New York.
- 3 From the Departments of Radiology and Imaging (F.A., E.T.T., D.B.S., J.L.C.) [email protected].
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F Abel et al.
AJNR Am J Neuroradiol.
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doi: 10.3174/ajnr.A7799.
Online ahead of print.
Affiliations
- 1 From the Departments of Radiology and Imaging (F.A., E.T.T., D.B.S., J.L.C.).
- 2 Spine Surgery (F.A., D.R.L.), Hospital for Special Surgery, New York, New York.
- 3 From the Departments of Radiology and Imaging (F.A., E.T.T., D.B.S., J.L.C.) [email protected].
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Abstract
Bone morphogenetic protein is broadly used in spinal surgery to enhance fusion rates. Several complications have been associated with the use of bone morphogenetic protein, including postoperative radiculitis and pronounced bone resorption/osteolysis. Bone morphogenetic protein-related epidural cyst formation may represent another complication that has not been described aside from limited case reports. In this case series, we retrospectively reviewed imaging and clinical findings of 16 patients with epidural cysts on postoperative MR imaging following lumbar fusion. In 8 patients, mass effect on the thecal sac or lumbar nerve roots was noted. Of these, 6 patients developed new postoperative lumbosacral radiculopathy. During the study period, most patients were managed conservatively, and 1 patient required revision surgery with cyst resection. Concurrent imaging findings included reactive endplate edema and vertebral bone resorption/osteolysis. Epidural cysts had characteristic findings on MR imaging in this case series and may represent an important postoperative complication in patients following bone morphogenetic protein-augmented lumbar fusion.
© 2023 by American Journal of Neuroradiology.
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