1,415 results match your criteria Imaging in Spondylodiskitis


Imaging of Acute Low Back Pain.

Radiol Clin North Am 2019 Mar 5;57(2):397-413. Epub 2018 Dec 5.

Department of Radiology and Imaging Sciences, University of Utah, 30 North 1900 East, Room 1A71, Salt Lake City, UT 84132, USA. Electronic address:

Acute low back pain, defined as less than 6 weeks in duration, does not require imaging in the absence of "red flags" that may indicate a cause, such as fracture, infection, or malignancy. When imaging is indicated, it is important to rule out a host of abnormalities that may be responsible for the pain and any associated symptoms. A common mnemonic VINDICATE can help ensure a thorough consideration of the possible causes. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.rcl.2018.10.001DOI Listing
March 2019
1 Read

The Efficacy of Computed Tomography-Guided Percutaneous Spine Biopsies in Determining a Causative Organism in Cases of Suspected Infection: A Systematic Review.

Can Assoc Radiol J 2019 Feb;70(1):96-103

Department of Medical Imaging, University of Toronto, Toronto, Ontario, Canada. Electronic address:

Purpose: In suspected spondylodiscitis and vertebral osteomyelitis, computed tomography (CT)-guided biopsies are often performed to determine a causative organism and guide antimicrobial therapy. The aim of this study is to determine the diagnostic culture yield of CT-guided biopsies performed in cases of suspected spinal infections.

Methods: A literature search of PubMed and MEDLINE up to April 2017 was performed for keywords "CT guided vertebral biopsy infection," "CT-guided spine biopsy infection," "CT guided spine biopsy yield," and "CT guided vertebral biopsy yield. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.carj.2018.09.003DOI Listing
February 2019

Presentation and Outcomes After Medical and Surgical Treatment Versus Medical Treatment Alone of Spontaneous Infectious Spondylodiscitis: A Systematic Literature Review and Meta-Analysis.

Global Spine J 2018 Dec 13;8(4 Suppl):49S-58S. Epub 2018 Dec 13.

University of Virginia, Charlottesville, VA, USA.

Study Design: Systematic literature review.

Objectives: The aims of this study were to (1) describe the clinical features, disabilities, and incidence of neurologic deficits of pyogenic spondylodiscitis prior to treatment and (2) compare the functional outcomes between patients who underwent medical treatment alone or in combination with surgery for pyogenic spondylodiscitis.

Methods: A systematic literature review was performed using PubMed according to PRISMA guidelines. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/2192568218799058DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6295820PMC
December 2018
2 Reads

Infectious Spondylitis Mimics: Mechanisms of Disease and Imaging Findings.

Authors:
Humberto Morales

Semin Ultrasound CT MR 2018 Dec 15;39(6):587-604. Epub 2018 Nov 15.

Section of Neuroradiology, University of Cincinnati Medical Center, Cincinnati, OH. Electronic address:

Infectious processes of the spine are on the rise; in this scenario recognition of entities imitating infection is very important. The discovertebral unit is regarded as one of the most important and active sites in the spine. Importantly, the vertebral bony rim and the anterior corners of the vertebral bodies have significant vascularization, they are the last regions to ossify in the developmental process and suffer mechanical forces. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S08872171183011
Publisher Site
http://dx.doi.org/10.1053/j.sult.2018.11.006DOI Listing
December 2018
7 Reads

Spinal involvement with calcium pyrophosphate deposition disease in an academic rheumatology center: A series of 37 patients.

Semin Arthritis Rheum 2018 Oct 14. Epub 2018 Oct 14.

Université Paris Diderot France, France; Department of Rheumatology, Hôpital Lariboisière, Assistance Publique des Hôpitaux de Paris, 75010 Paris, France; INSERM U1132, Hôpital Lariboisière, Université Paris Diderot, France. Electronic address:

Background: Calcium pyrophosphate dihydrate deposition disease (CPPD) has been reported to involve the spine, but few systematic studies have been published.

Objective: To further characterize the spinal involvement with CPPD by a review of CPPD patients hospitalized in a rheumatology department.

Methods: We retrospectively reviewed data for patients consecutively admitted with a diagnosis of CPPD in the rheumatology department of Lariboisière hospital in Paris, France over 5 years by using a standardized protocol and electronic case report forms. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S00490172183043
Publisher Site
http://dx.doi.org/10.1016/j.semarthrit.2018.10.009DOI Listing
October 2018
9 Reads

Extreme lateral interbody fusion (XLIF) as a treatment for acute spondylodiscitis: Leeds spinal unit experience.

J Clin Neurosci 2019 Jan 6;59:213-217. Epub 2018 Nov 6.

Department of Neurosurgery, Leeds General Infirmary, Great George Street, Leeds LS1 3EX, UK. Electronic address:

Extreme lateral interbody fusion (XLIF) is a minimally invasive lateral trans-psoas approach to the thoraco-lumbar spine that enables surgical debridement of the disc space and facilitates fusion. Previous reports are limited to case series, which have no outcomes measuring improvement. We aim to determine the effectiveness of XLIF in the treatment of patients with spondylodiscitis. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S09675868183021
Publisher Site
http://dx.doi.org/10.1016/j.jocn.2018.10.063DOI Listing
January 2019
8 Reads

Vertebral Osteomyelitis, Discitis, and Epidural Abscess: A Rare Complication of Endocarditis.

J Investig Med High Impact Case Rep 2018 Jan-Dec;6:2324709618807504. Epub 2018 Oct 28.

State University of New York Upstate Medical University, Syracuse, NY, USA.

In this article, we report the case of a 75-year-old man who was presented with new low back pain for 2 weeks. His past history was significant for severe aortic stenosis necessitating bioprosthetic aortic valve placement 4 years ago, hypertension, and coronary artery disease. His physical examination was positive for point tenderness over the lower lumbar spine. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/2324709618807504DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6207954PMC
October 2018
26 Reads

Infected abdominal aortic aneurysm graft complicated by lumbar discitis.

BJR Case Rep 2018 9;4(2):20170101. Epub 2018 Feb 9.

Department of Radiology, Poole Hospital NHS Foundation Trust, Poole, UK.

We present the case of a 68-year-old male, who underwent open abdominal aortic graft in August 2016 owing to a ruptured large infrarenal abdominal aneurysm. He subsequently presented 6 months later with back pain, general weakness, reduced mobility and cachexia. He underwent CT, MRI and fluorodeoxyglucose (PDG)-PET spinal imaging, all modalities showing signs of aortic graft infection complicated by L4/5 discitis. Read More

View Article

Download full-text PDF

Source
http://www.birpublications.org/doi/10.1259/bjrcr.20170101
Publisher Site
http://dx.doi.org/10.1259/bjrcr.20170101DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6159111PMC
February 2018
10 Reads

Claw sign: MRI of degenerative disc disease.

J Med Imaging Radiat Oncol 2018 Oct;62 Suppl 1:125

Department of Radiology, Concord Repatriation General Hospital, Concord, New South Wales, Australia.

View Article

Download full-text PDF

Source
http://doi.wiley.com/10.1111/1754-9485.06_12786
Publisher Site
http://dx.doi.org/10.1111/1754-9485.06_12786DOI Listing
October 2018
3 Reads

Transforaminal Interbody Debridement and Fusion to Manage Postdiscectomy Discitis in Lumbar Spine.

World Neurosurg 2019 Jan 9;121:e755-e760. Epub 2018 Oct 9.

Department of Orthopaedic Surgery, Spine Section, Bone and Joint Research Center, Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Taoyuan, Taiwan.

Background: Traditionally, nonoperative management with long-term antibiotics and bed rest has been recommended as first-line treatment for most patients with postoperative discitis. A recent trend in treatment under a limited range of indications has been to perform surgical débridement followed by long-term administration of antibiotics. This descriptive study investigated whether transforaminal lumbar interbody débridement and fusion (TLIDF) combined with intravenous antibiotics is appropriate to manage postdiscectomy discitis. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S18788750183226
Publisher Site
http://dx.doi.org/10.1016/j.wneu.2018.09.211DOI Listing
January 2019
4 Reads

Spinal Coccidioidomycosis: MR Imaging Findings in 41 Patients.

AJNR Am J Neuroradiol 2018 Nov 4;39(11):2148-2153. Epub 2018 Oct 4.

Department of Radiology (J.R.), Mayo Clinic College of Medicine, Phoenix, Arizona.

Background And Purpose: is a dimorphic fungus endemic to the Southwest United States and Mexico, and at our institution, it is a relatively common pathogen presenting with a broad spectrum of associated spine diseases. We describe the various spinal manifestations resulting from coccidioidal infection and provide MR imaging examples from 41 pathologically proved cases.

Materials And Methods: Retrospective electronic medical record and PACS searches were performed. Read More

View Article

Download full-text PDF

Source
http://www.ajnr.org/lookup/doi/10.3174/ajnr.A5818
Publisher Site
http://dx.doi.org/10.3174/ajnr.A5818DOI Listing
November 2018
4 Reads

Management of Postoperative Discitis: A Review of 31 Patients.

Asian J Neurosurg 2018 Jul-Sep;13(3):703-706

Department of Anesthesiology, Dr. Ram Manohar Lohia Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.

Background: The aim of the study was to retrospectively evaluate the outcome of medical management of postoperative discitis (POD).

Materials And Methods: A total of 31 patients treated for POD were included in the study. Clinical, radiological, and laboratory data of all patients were collected and evaluated. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.4103/ajns.AJNS_233_16DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6159077PMC
October 2018
1 Read

Evaluation and Management of Pyogenic and Tubercular Spine Infections.

Curr Rev Musculoskelet Med 2018 Dec;11(4):643-652

The Rothman Institute, 925 Chestnut St, 5th Floor, Philadelphia, PA, 19107, USA.

Purpose Of Review: To review the most current diagnostic tools and treatment options for pyogenic and tubercular spine infection.

Recent Findings: Recent studies have focused on risk factors for failed nonoperative management in order to improve patient selection. Also, spine instrumentation and different grafting options have been safely utilized in the setting of an active infection without increasing the incidence of reoccurrence. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s12178-018-9523-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6220010PMC
December 2018
2 Reads

Thoracic Discitis in Ankylosing Spondylitis.

Cureus 2018 Jul 12;10(7):e2972. Epub 2018 Jul 12.

Rheumatology, University of Kansas School of Medicine - Wichita, Wichita, USA.

Chronic ankylosing spondylitis can lead to several rare long-term complications including cauda equina syndrome and inflammatory discitis especially without treatment. These complications are uncommon, but there is evidence that they can be treated with anti-tumor necrosis factor (TNF) inhibitors. We present a case of a 52-year-old male with a 30-year history of undiagnosed ankylosing spondylitis with cauda equina syndrome on initial outpatient presentation with a negative lumbosacral magnetic resonance imaging (MRI). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7759/cureus.2972DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6136886PMC
July 2018
3 Reads

Endoscopic Decompression Can Be Effective for Diagnosing and Treating Tubercular Spondylodiskitis with Early Epidural Spinal Compression: A Retrospective Study of 18 Cases.

Asian Spine J 2018 Oct 10;12(5):803-809. Epub 2018 Sep 10.

Center for Bone and Joint, Kokilaben Dhirubhai Ambani Hospital and Medical Research Institute, Mumbai, India.

Study Design: Retrospective study.

Purpose: In this study, we describe an endoscopic method of effectively treating tubercular lumbar spondylodiskitis with early onset epidural spinal cord compression in the lumbar spine on magnetic resonance imaging (MRI).

Overview Of Literature: Percutaneous aspiration and biopsy of spondylodiskitis under ultrasonography and computer tomography scan invariably provides an inadequate diagnosis. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.31616/asj.2018.12.5.803DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6147883PMC
October 2018
3 Reads

An Uncommon Case of Pyogenic Spondylodiscitis Caused by .

Case Rep Orthop 2018 14;2018:3127613. Epub 2018 Aug 14.

Department of Clinical Laboratory Medicine, Kyoto University Graduate School of Medicine, Kyoto, Japan.

An 81-year-old man presented with severe back pain. Magnetic resonance imaging detected L5/S discitis without signs of epidural abscess. Punctures of the disc revealed that the causative organism was , which is part of the normal flora of the oral cavity and an uncommon causative pathogen of spondylodiscitis. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1155/2018/3127613DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6112214PMC
August 2018
2 Reads

A prospective study of screening for musculoskeletal pathology in the child with a limp or pseudoparalysis using erythrocyte sedimentation rate, C-reactive protein and MRI.

J Child Orthop 2018 Aug;12(4):398-405

Department of Orthopaedic Surgery, Peterborough City Hospital, Bretton Gate, Peterborough, UK.

Purpose: To determine if the detection of musculoskeletal pathology in children with a limp or acute limb disuse can be optimized by screening with blood tests for raised inflammatory markers, followed by MRI.

Methods: This was a prospective observational study. Entry criteria were children (0 to 16 years of age) presenting to our emergency department with a non-traumatic limp or pseudoparalysis of a limb, and no abnormality on plain radiographs. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1302/1863-2548.12.180004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6090194PMC
August 2018
2 Reads

Degenerative Disc Disease Mimicking Spondylodiscitis with Bilateral Psoas Abscesses.

World Neurosurg 2018 Dec 24;120:43-46. Epub 2018 Aug 24.

Neuroradiology, Service of Diagnostic and Interventional Radiology, Hôpital de Sion, Centre Hospitalier Universitaire Vaudois, Sion, Switzerland.

Background: Sequestered disc fragments may present as a lesion with peripheral enhancement on magnetic resonance imaging. When located in the psoas muscle compartment, this finding could mimic an abscess.

Case Description: We describe a case of a 52-year-old man who returned from Togo after 2 years of living in precarious conditions. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S18788750183189
Publisher Site
http://dx.doi.org/10.1016/j.wneu.2018.08.116DOI Listing
December 2018
19 Reads

[A woman with spontaneous neck pain].

Ned Tijdschr Geneeskd 2018 May 22;161. Epub 2018 May 22.

Medisch Spectrum Twente, afd. Neurologie, Enschede.

A 42-year-old woman presented with neck pain without previous trauma. On suspicion of spondylodiscitis, an MRI of the cervical spine was made. This MRI and an additional CT showed calcific tendinitis of the longus colli muscle, a self-limiting disorder. Read More

View Article

Download full-text PDF

Source

spondylodiscitis in a patient with HIV infection and restored CD4 count.

BMJ Case Rep 2018 Jul 15;2018. Epub 2018 Jul 15.

Department of Infectious Diseases and Immunity, Jessa Ziekenhuis vwz, Hasselt, Belgium.

() is a rare condition and mostly seen in elderly or immunocompromised patients. We present the first case of spondylodiscitis in a virologically suppressed HIV seropositive patient with low back pain. MRI was performed and showed spondylodiscitis of the L4-L5 region. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bcr-2018-225272DOI Listing
July 2018
4 Reads

Effectiveness of Bi-Needle Technique (Hybrid Yeung Endoscopic Spine System/Transforaminal Endoscopic Spine System) for Percutaneous Endoscopic Lumbar Discectomy.

World Neurosurg 2018 Nov 6;119:e53-e59. Epub 2018 Jul 6.

Department of Orthopaedics, Changzheng Hospital, Second Military Medical University, Shanghai, China.

Objective: The bi-needle technique is a new technique for percutaneous endoscopic lumbar discectomy. This technique combines the advantages of Yeung endoscopic spine system (YESS) and transforaminal endoscopic spine system (TESSYS) techniques. The aim of this study was to evaluate effectiveness of the bi-needle technique for percutaneous endoscopic lumbar discectomy and compare it with the TESSYS technique. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.wneu.2018.06.220DOI Listing
November 2018
6 Reads

Staphylococcus-Associated Glomerulonephritis Mimicking Henoch-Schönlein Purpura and Cryoglobulinemic Vasculitis in a Patient With an Epidural Abscess: A Case Report and Brief Review of the Literature.

Can J Kidney Health Dis 2018 31;5:2054358118776325. Epub 2018 May 31.

Division of Nephrology, Institute of Health Policy, Management and Evaluation, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.

Rationale: Staphylococcus-associated glomerulonephritis (SAGN) is a rare immune complex-mediated glomerulonephritis associated with active infection. We report a case illustrating the importance of clinical history and kidney biopsy findings in establishing the correct diagnosis.

Presenting Concerns Of The Patient: We report the case of a 64-year-old man with alcohol-associated cirrhosis, type 2 diabetes mellitus, and hypertension who presented to hospital with lower back and abdominal pain, rectal bleeding, a purpuric lower extremity rash, and oliguric acute kidney injury with microscopic hematuria and nephrotic-range proteinuria. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/2054358118776325DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5985547PMC
May 2018
7 Reads

Successful Conservative Management of Delayed Cervical Spondylodiscitis with Epidural Abscess Caused by Esophageal Diverticulitis: A Case Report and Review of Literature.

World Neurosurg 2018 Oct 5;118:250-260. Epub 2018 Jun 5.

Department of Orthopedic Surgery, Navy General Hospital, Beijing, China. Electronic address:

Background: Cervical spondylodiscitis with spinal epidural abscess (SEA) is not a rare medical condition and usually requires urgent decompression of neural structures and stabilization of the spine followed by antibiotic therapy for the prevention of severe neurologic deficits.

Case Description: In this report, we present a 43-year-old male patient with the chief complaint of neck pain and intermittent fever accompanying by slight dysphagia. After 2 weeks, he felt mild and transient numbness on the left upper limb. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.wneu.2018.05.207DOI Listing
October 2018
5 Reads

Spondylodiscitis in Paediatric Patients: The Importance of Early Diagnosis and Prolonged Therapy.

Int J Environ Res Public Health 2018 06 7;15(6). Epub 2018 Jun 7.

Pediatric Clinic, Department of Surgical and Biomedical Sciences, Università degli Studi di Perugia, 06123 Perugia, Italy.

Spondylodiscitis (SD), the concurrent infection of a vertebral disc and the adjacent vertebral bodies, is a very severe disease that can lead to death or cause spinal deformities, segmental instabilities, and chronic pain, which significantly reduces the quality of life for affected patients. Early diagnosis and treatment are essential in order to reduce the risk of negative outcomes. The two cases of SD that are described in this paper might be useful for informing paediatric approaches to children with SD. Read More

View Article

Download full-text PDF

Source
http://www.mdpi.com/1660-4601/15/6/1195
Publisher Site
http://dx.doi.org/10.3390/ijerph15061195DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6025454PMC
June 2018
6 Reads

An aggressive form of infective endocarditis presenting with limb weakness.

BMJ Case Rep 2018 Jun 4;2018. Epub 2018 Jun 4.

Department of Cardiology, Royal Free London NHS Foundation Trust, London, UK.

We present the case of a 49-year-old man with a bicuspid aortic valve who presented to the emergency department with limb weakness and a fever. Blood tests revealed a fulminant septic process with bacteraemia, anaemia and thrombocytopenia. Imaging revealed a cervical spinal abscess and discitis causing spinal cord compression, in addition to multiple cerebral septic emboli, pleural effusions and ascites. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bcr-2017-223775DOI Listing
June 2018
4 Reads

Diagnostic yield of repeat CT-guided biopsy for suspected infectious spondylodiscitis.

Skeletal Radiol 2018 Oct 18;47(10):1403-1410. Epub 2018 May 18.

Division of Musculoskeletal Imaging and Intervention, Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.

Objective: The purpose of this study was to examine the yield of repeat CT-guided biopsy in patients with suspected infectious spondylodiscitis following an initial biopsy with negative microbiology, and to identify factors associated with successful pathogen isolation.

Materials And Methods: In this retrospective study, 21 patients (12 men, 9 women; mean age, 52, range, 12-84) were identified with clinically and radiologically suspected infectious spondylodiscitis who underwent repeat biopsy following negative cultures from an initial biopsy. The microbe yield as well as demographic, clinical, and laboratory findings were reviewed and statistical analysis was performed. Read More

View Article

Download full-text PDF

Source
http://link.springer.com/10.1007/s00256-018-2972-y
Publisher Site
http://dx.doi.org/10.1007/s00256-018-2972-yDOI Listing
October 2018
10 Reads

Cervical spondylodiscitis subsequent to peripherally inserted central catheter-related sepsis: A case report.

J Vasc Access 2018 05 5;19(3):324-327. Epub 2018 Mar 5.

1 Department of Anaesthesia, Istituti Clinici Scientifici Maugeri, Pavia, Italy.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1177/1129729817747534DOI Listing
May 2018
3 Reads

Salmonella potsdam causing lumbar vertebral osteomyelitis: A case report.

Medicine (Baltimore) 2018 May;97(18):e0682

Orthopaedic Center of People's Liberation Army, the Affiliated Southeast Hospital of Xiamen University, Zhangzhou, Fujian Province, P. R. China.

Rationale: Salmonella osteomyelitis is an uncommon complication of salmonella infection, especially the salmonella vertebral osteomyelitis (SVO).

Patient Concerns: We reported a case of a 29-year-old female who presented with serious lower back pain and severe limitation of motion for 50 days with no obvious inducements. She once had a fever up to 39. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/MD.0000000000010682DOI Listing
May 2018
9 Reads

Clinical and Radiographic Results of a Minimally Invasive Lateral Transpsoas Approach for Treatment of Septic Spondylodiscitis of the Thoracolumbar and Lumbar Spine.

World Neurosurg 2018 Aug 4;116:e48-e56. Epub 2018 Apr 4.

Department of Spine Surgery, Third Affiliated Hospital, Sun Yat-sen University, Guangzhou, China. Electronic address:

Background: The minimally invasive lateral transpsoas approach allows retroperitoneal access for discectomy and graft placement. However, the procedure has rarely been used for the treatment of septic spondylodiscitis. The purposes of this study were to evaluate the clinical and radiographic outcomes from this minimally invasive procedure for septic spondylodiscitis. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.wneu.2018.03.193DOI Listing
August 2018
3 Reads

Bone and joint infection.

Clin Med (Lond) 2018 03;18(2):150-154

Nuffield Orthopaedic Centre, Oxford University Hospitals NHS Foundation Trust, Oxford, UK

Bone and joint infections include septic arthritis, prosthetic joint infections, osteomyelitis, spinal infections (discitis, vertebral osteomyelitis and epidural abscess) and diabetic foot osteomyelitis. All of these may present through the acute medical take. This article discusses the pathogenesis of infection and highlights the importance of taking a careful history and fully examining the patient. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.7861/clinmedicine.18-2-150DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6303448PMC
March 2018
2 Reads

Spondylodiscitis in a 54-year-old female scuba diver.

BMJ Case Rep 2018 Mar 28;2018. Epub 2018 Mar 28.

School of Allied Health Sciences, Griffith University - Gold Coast Campus, Southport, Queensland, Australia.

A 54-year-old woman presented to a Sports Physician with a 4-year history of haemochromatosis, and she had a medical history that included a congenital spondylolisthesis resulting in a fusion of L4-S1 at age 16 years, episodic mechanical low back pain and an absence of other significant musculoskeletal symptoms. On presentation, she reported 18 months of severe low back pain that started after a scuba diving trip. After the onset of this low back pain, she developed gastrointestinal symptoms from The gastrointestinal symptoms improved with a course of antibiotics, but the back pain persisted in spite of analgesics, non-steroidal anti-inflammatories and several attempts at different conservative management. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1136/bcr-2017-222274DOI Listing
March 2018
4 Reads

Clinical Utility of Diffusion-Weighted Imaging in Spinal Infections.

Clin Neuroradiol 2018 Mar 26. Epub 2018 Mar 26.

Department of Radiology and Biomedical Imaging, University of California San Francisco, 505 Parnassus Avenue, Rm. L-358, 94143-0628, San Francisco, CA, USA.

Purpose: Both laboratory markers and radiographic findings in the setting of spinal infections can be nonspecific in determining the presence or absence of active infection, and can lag behind both clinical symptoms and antibiotic response. Magnetic resonance imaging (MRI) with diffusion-weighted imaging (DWI) has been shown to be helpful in evaluating brain abscesses but has not been commonly used in evaluating spinal infections. We aimed to correlate findings on DWI of the spine to results of microbiological sampling in patients with suspected spinal infections. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s00062-018-0681-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6158113PMC
March 2018
2 Reads

Recurrent discitis in the acute rehab setting: a case report.

Spinal Cord Ser Cases 2018 21;4:23. Epub 2018 Mar 21.

1Department of Rehabilitation Medicine, Emory University School of Medicine, Atlanta, USA.

Introduction: Discitis is an infection of the intervertebral disc space that can lead to paralysis, sepsis, epidural abscess, or other life-threatening complications if left untreated and may sometimes present with limited laboratory abnormalities to clue a diagnosis.

Case Presentation: We present a case of a 67-year-old female in an acute rehabilitation setting who had presenting symptoms of sudden unexplained back pain refractory to pain control. She had a previous history of discitis and multiple failed knee replacement surgeries secondary to MSSA infections. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1038/s41394-018-0052-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5862829PMC
March 2018
3 Reads

Osteodiskitis of Lumbar Spine Due to Migrated Fractured Inferior Vena Cava Filter.

World Neurosurg 2018 May 7;113:298-303. Epub 2018 Mar 7.

Department of Neurosurgery, University of Texas Southwestern, Dallas, USA.

Background: Venous thromboembolism can be a significant cause of morbidity in the trauma population. Medical and surgical specialties have been pushing the indication for prophylactic filter placement.

Case Description: A 36-year-old man presented with axial lower back pain with a radicular right L2 component after lifting a heavy object. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.wneu.2018.02.154DOI Listing
May 2018
3 Reads

Discitis caused by rat bite fever in a rheumatoid arthritis patient on tocilizumab-first ever case.

Rheumatology (Oxford) 2018 Jun;57(6):1118-1120

Department of Rheumatology & Exeter NHS Foundation Trust, Exeter, UK.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1093/rheumatology/key046DOI Listing
June 2018
4 Reads

Treatment of lumbar discitis using silicon nitride spinal spacers: A case series and literature review.

Authors:
William M Rambo

Int J Surg Case Rep 2018 10;43:61-68. Epub 2018 Feb 10.

Midlands Orthopaedics & Neurosurgery, 1910 Blanding St, Columbia, SC 29201, USA. Electronic address:

Introduction: Septic infection of a lumbar intervertebral disc is a serious disorder which is often difficult to diagnose and appropriately treat because of the rarity of the disease, the varied presentation of symptoms, and the frequency of low-back pain within the overall population. Its etiology can be pyogenic, granulomatous, fungal, or parasitic; its incidence is rising due to increased patient susceptibility and improved diagnostic tools. Conservative treatments involve antibiotics, physical therapy, and/or immobilization. Read More

View Article

Download full-text PDF

Source
https://linkinghub.elsevier.com/retrieve/pii/S22102612183004
Publisher Site
http://dx.doi.org/10.1016/j.ijscr.2018.02.009DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5832668PMC
February 2018
8 Reads

Spondylodiscitis due to Aerococcus urinae and literature review.

Infection 2018 Jun 16;46(3):419-421. Epub 2018 Feb 16.

Service des Maladies infectieuses et Tropicales, Hopitaux Universitaires de Strasbourg, 1 place de l'hôpital, 67000, Strasbourg, France.

Introduction: Aerococccus urinae (AU) is a pathogen mainly identified in male urinary tract infections and responsible for bacteremia and endocarditis. To the best of our knowledge, there are only five patients with osteomyelitis due to AU described in the literature. All of them had urinary tract disease or systemic conditions such as diabetes, and two were associated with an endocarditis. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s15010-017-1106-0DOI Listing
June 2018
2 Reads

Utility of sagittal MR imaging of the whole spine in cases of known or suspected single-level spinal infection: Overkill or good clinical practice?

Clin Imaging 2018 Sep - Oct;51:98-103. Epub 2018 Feb 13.

Department of Radiology, Thomas Jefferson University, 1087 Main Building, 132 South 10th Street, Philadelphia, PA 19107, United States.

Objective: Multi-sequence sagittal magnetic resonance imaging (MRI) of the entire spine is performed in patients with known single level spondylodiscitis. Our objective is to determine the frequency of multifocal infection.

Methods: After IRB approval, a retrospective five-year review of all patients with spondylodiscitis was performed. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.clinimag.2018.02.009DOI Listing
November 2018
3 Reads

Imaging of Spondylodiscitis.

Semin Nucl Med 2018 03 6;48(2):131-147. Epub 2018 Feb 6.

Department of Radiology, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY.

Spondylodiscitis is an infection of the vertebral body or disc and may also involve the epidural space, posterior elements, and paraspinal soft tissues. It is a cause of morbidity and mortality, and warrants early diagnosis and prompt treatment. Diagnosis can be difficult because of nonspecific signs and symptoms. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1053/j.semnuclmed.2017.11.001DOI Listing
March 2018
4 Reads

Adjacent level spondylodiscitis in a patient with thoracic spondylodiscitis: A case report and review of the literature.

Neurochirurgie 2018 Mar 13;64(1):53-56. Epub 2018 Feb 13.

Department of neurosurgery, Aix-Marseille university, Timone hospital, 264, rue Saint-Pierre, 13385 Marseille, France.

Introduction: Adjacent level spondylodiscitis (ALS) after primary surgery for thoracic spondylodiscitis is a very rare condition.

Case Report: We report the case of a 76-year-old man with this pathology. A first posterior minimally invasive approach combined with anterior approach to the thoracic spine was safely performed for thoracic spondylodiscitis. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.neuchi.2017.09.003DOI Listing

Melioidosis: the great mimicker presenting as spondylodiscitis.

BMJ Case Rep 2018 Feb 8;2018. Epub 2018 Feb 8.

Kasturba Medical College Manipal, Manipal University, Manipal, India.

Melioidosis, a syndrome with protean clinical manifestations, is caused by Gram-negative soil saprophyte Among its diverse clinical presentations, the involvement of spine is a rare phenomenon and can mimic tuberculosis on presentation. A 65-year-old female with a known case of diabetes presented with fever with lower back pain. Blood culture grew , and as per sensitivity report, clindamycin and cefazolin were started. Read More

View Article

Download full-text PDF

Source
http://casereports.bmj.com/lookup/doi/10.1136/bcr-2017-22322
Publisher Site
http://dx.doi.org/10.1136/bcr-2017-223223DOI Listing
February 2018
11 Reads

[A woman with spontaneous neck pain].

Ned Tijdschr Geneeskd 2018;162:D2042

Medisch Spectrum Twente, Enschede.

A 42-year-old woman presented with neck pain without previous trauma. On suspicion of spondylodiscitis, an MRI of the cervical spine was made. This MRI and an additional CT showed calcific tendinitis of the longus colli muscle, a self-limiting disorder. Read More

View Article

Download full-text PDF

Source
December 2018
2 Reads

Magnetic Resonance Imaging Findings in Spondylodiscitis.

J Nepal Health Res Counc 2018 Jan 1;15(3):217-221. Epub 2018 Jan 1.

Department of Radiology and Imaging, Patan Academy of Health Sciences (PAHS), Lagenkhel, Lalitpur, Nepal.

Background: Magnetic Resonance Imaging is the imaging modality of choice for imaging spinal infection due to its high sensitivity and specificity. This study aims to study the magnetic resonance imaging changes in patients with spondylodiscitis.

Methods: The study was a retrospective study carried in a multimodality imaging centre in Kathmandu. Read More

View Article

Download full-text PDF

Source
January 2018
2 Reads

Spondylodiscitis: Diagnosis and Treatment Options.

Dtsch Arztebl Int 2017 Dec;114(51-52):875-882

Department for Trauma and Reconstructive Surgery, University Hospital RWTH Aachen; Department I for Internal Medicine, University Hospital Cologne; Center of Orthopedic and Trauma Surgery, University Hospital Cologne; Center for Orthopaedics and Trauma Surgery, Rhein-Maas Klinikum GmbH, Würselen.

Background: A recent population-based study from Denmark showed that the incidence of spondylodiscitis rose from 2.2 to 5.8 per 100 000 persons per year over the period 1995-2008; the age-standardized incidence in Germany has been estimated at 30 per 250 000 per year on the basis of data from the Federal Statistical Office (2015). Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.3238/arztebl.2017.0875DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5769318PMC
December 2017
15 Reads

Emergent spinal MRI in IVDU patients presenting with back pain: do we need an MRI in every case?

Emerg Radiol 2018 Jun 3;25(3):247-256. Epub 2018 Jan 3.

Boston University Medical Center, 1 Boston Medical Center Pl, Boston, MA, 02118, USA.

Purpose: Spinal MRI is the exam of choice for the workup of patients with suspected spinal infection. In this retrospective study, we assess the value of obtaining contrast-enhanced spinal MRI for patients presenting to the emergency department (ED) with acute back pain and a history of intravenous drug use (IVDU).

Methods: A retrospective IRB-approved, HIPAA compliant review of the imaging findings, reports and electronic charts of 167 consecutive IV drug-using patients (M/F = 96:71, mean age = 40 years) that presented to the ED with acute back pain over a 55-month period and underwent contrast-enhanced spinal MRI within 24 h. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1007/s10140-017-1572-9DOI Listing
June 2018
4 Reads

Simultaneous Endovascular Repair of a Thoracic Aortic Injury during Posterior Pedicle Screw Removal: A Case Report.

Ann Vasc Surg 2018 Apr 8;48:252.e1-252.e4. Epub 2017 Dec 8.

Consultant Vascular Surgeon, Royal Victoria Hospital Belfast, Vascular Unit, Royal Victoria Hospital, Belfast, Northern Ireland.

Posterior spinal stabilization is a technically demanding procedure which is increasing in popularity. Since this increase in popularity, complications, including screws misplacement, are being highlighted. Accuracy rates are higher when imaging modalities are used intraoperatively. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.avsg.2017.10.021DOI Listing
April 2018
4 Reads

Spondylodiscitis revisited.

EFORT Open Rev 2017 Nov 15;2(11):447-461. Epub 2017 Nov 15.

Attikon General University Hospital, National and Kapodistrian University of Athens, School of Medicine, Athens, Greece.

Spondylodiscitis may involve the vertebral bodies, intervertebral discs, paravertebral structures and spinal canal, with potentially high morbidity and mortality rates.A rise in the susceptible population and improved diagnosis have increased the reported incidence of the disease in recent years.Blood cultures, appropriate imaging and biopsy are essential for diagnosis and treatment. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1302/2058-5241.2.160062DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5706057PMC
November 2017
12 Reads

MRI Findings of the Sacroiliac Joints in Patients with Low Back Pain: Alternative Diagnosis to Inflammatory Sacroiliitis.

Isr Med Assoc J 2017 Nov;19(11):666-669

Rheumatology Unit, Sheba Medical Center, Tel Hashomer, affiliated with Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.

Background: Magnetic resonance imaging (MRI) is the most sensitive imaging modality for the detection of sacroiliitis. Diagnosing sacroiliitis on MRI is not always straightforward and can be challenging in some cases.

Objectives: To evaluate the prevalence of alternative diagnoses suggested by MRI and characterize the MR appearance of the most common ones. Read More

View Article

Download full-text PDF

Source
November 2017
8 Reads

Multilevel lumbar spine infection due to poor dentition in an immunocompetent adult: a case report.

J Med Case Rep 2017 Nov 22;11(1):328. Epub 2017 Nov 22.

Department of Anesthesiology, Mayo Clinic College of Medicine, 200 First St SW, Rochester, MN, 55905, USA.

Background: Although spinal infections have been reported following dental procedures, development of a spinal infection attributed to poor dentition without a history of a dental procedure in an immunocompetent adult has not been previously reported. Here we provide a case report of a multilevel lumbar spine infection that developed in an immunocompetent adult with poor dentition.

Case Presentation: A 63-year-old white male man with past medical history of hypertension presented to a hospital emergency department with a 4-month history of progressively worsening low back pain. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1186/s13256-017-1492-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5698996PMC
November 2017
2 Reads

Treatment of a mycotic abdominal aortic aneurysm with the jailing technique.

Acta Chir Belg 2017 Dec 31;117(6):394-397. Epub 2017 Oct 31.

a Department of Vascular surgery , UZ Brussel , Brussels , Belgium.

Purpose: We explored an innovative technique in treating mycotic aortic aneurysms.

Case Report: A patient presenting with severe back pain, vague abdominal pain, weight loss and decline in general health, was diagnosed with a contained-rupture of a suprarenal mycotic aortic aneurysm, as a complication of spondylodiscitis. Since the patient's health condition was too poor to perform an open aortic repair, we choose an alternative treatment option by coiling the aneurysm with the jailing technique. Read More

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1080/00015458.2017.1279859DOI Listing
December 2017
6 Reads