1,572 results match your criteria Imaging in Spondylodiskitis


A Rare Case of Mycobacterium Monacense Osteomyelitis: A Case Report.

Cureus 2021 Mar 31;13(3):e14199. Epub 2021 Mar 31.

Pulmonary and Critical Care Medicine, BronxCare Health System, Bronx, USA.

is a yellow-pigmented, rapidly growing non-tuberculous mycobacterium (RGM). It is a rare pathogen in humans, and only a very few cases of skin and lung infection related to it have been reported. In this report, we present the case of a 70-year-old Hispanic male who was brought to the hospital with back pain for 11 months. Read More

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lumbar spondylodiscitis contiguous to infected abdominal aortic aneurysm in an intravenous drug user.

BMJ Case Rep 2021 Apr 14;14(4). Epub 2021 Apr 14.

Department of Orthopaedic Surgery, Kudanzaka Hospital, Tokyo, Japan.

While the incidence of spondylodiscitis is rising because of longer life expectancy and the increasing use of immunosuppressant drug, indwelling devices and spinal surgeries, the fungal aetiology remains rare, sometimes affecting intravenous drug users. spondylodiscitis is an extremely rare complication post aortic aneurysm repair. It is potentially fatal due to the risk of aneurysm rupture and septic complications. Read More

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Spontaneous Posterior Subdural Pyogenic Escherichia coli Abscess Secondary to Lumbar Spondylodiscitis.

Cureus 2021 Mar 4;13(3):e13703. Epub 2021 Mar 4.

Spinal Surgery, Leeds Teaching Hospitals NHS Trust, Leeds, GBR.

Pyogenic subdural spinal collections are rare but an important pathology to recognise and manage appropriately. We report the case of a 56-year-old female who developed a posterior subdural spinal collection associated with local discitis. There was no direct communication between the infected disc and subdural space, and the collection was located posteriorly within the subdural space which makes this case all the more unusual. Read More

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Spondylodiscitis presenting as pleural effusion in a geriatric female: A case report.

J Pak Med Assoc 2021 02;71(2(A)):543-546

Yedikule Chest Disease and Surgery Education and Research Hospital, Istanbul, Turkey.

Pleural effusion is a frequently seen medical problem caused by pulmonary and non-pulmonary diseases. Spondylodiscitis is a very rare cause of pleural effusion and is typically diagnosed based on clinical, laboratory, microbiological and radiological findings. The low incidence and different clinical presentations of Spondylodiscitis make its diagnosis and treatment challenging. Read More

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February 2021

Sheep as a Potential Model of Intradiscal Infection by the Bacterium .

Vet Sci 2021 Mar 16;8(3). Epub 2021 Mar 16.

OrthoIndy, 8450 Northwest Blvd, Indianapolis, IN 46278, USA.

The anaerobic bacterium has been increasingly linked to the development of degenerative disc disease (DDD), although causality is yet to be conclusively proven. To better study how this organism could contribute to the aetiology of DDD, improved animal models that are more reflective of human disc anatomy, biology and mechanical properties are required. Against this background, our proof-of concept study aimed to be the first demonstration that could be safely administered percutaneously into sheep intervertebral discs (IVDs) for in vivo study. Read More

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Early surgery with antibiotic medication was effective and efficient in treating pyogenic spondylodiscitis.

BMC Musculoskelet Disord 2021 Mar 18;22(1):288. Epub 2021 Mar 18.

Department of Orthopedic Surgery, the First Affiliated Hospital, Sun Yat-sen University, Guangzhou, China.

Background: Pyogenic spondylodiscitis (PSD) is challenging to the orthopedist with regards to diagnosis and treatment. The present study was designed to assess and suggest the most indicative diagnostic method and evaluate the effect of surgery comprising of debridement, instrumentation and fusion in treating PSD.

Methods: Seventy-six patients with PSD who underwent surgical intervention were retrospectively enrolled. Read More

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A Rare Cause of Acute Back Pain in a Young Adult: Case Report and Discussion of Calcific Discitis.

J Radiol Case Rep 2020 Oct 31;14(10):1-9. Epub 2020 Oct 31.

Department of Radiology, Morristown Medical Center, Morristown, NJ.

Calcific discitis in the adult population is very rare, with fewer than 40 cases reported in the literature. Most cases thus far have involved patients presenting with mid to upper back pain of acute to subacute onset. As it is a condition that is self-resolving with rare exception, the true incidence is likely underestimated. Read More

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October 2020

Three-dimensional ultrashort echo time (3D UTE) magnetic resonance imaging (MRI) of the normal and degenerative disco-vertebral complex at 4.7 T: a feasibility study with longitudinal evaluation.

Eur Spine J 2021 Feb 20. Epub 2021 Feb 20.

Department of Radiology, University Hospital of Bordeaux, Bordeaux, France.

Objectives: To assess feasibility of a three-dimensional ultrashort echo time (3D-UTE)-sequence to evaluate normal and pathological disco-vertebral complex (DVC), with assessment of its different portions in a rat model of degenerative disk disease (DDD) with histological correlation. To assess whether this sequence, in comparison with long echo time T2-weighted sequence, is able to monitor DDD with differentiation of early from chronic DVC changes in pathological mechanical conditions.

Methods: Five rats were induced with DDD model by percutaneous disk trituration of the tail with an 18-G needle under US-guidance and imaged at 4. Read More

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February 2021

Clinicoradiographic predictors of percutaneous bone biopsy results among patients with suspected thoracolumbar spine infection.

Skeletal Radiol 2021 Feb 12. Epub 2021 Feb 12.

Department of Radiology and Imaging Sciences Section of Musculoskeletal Imaging, Emory University Hospital, 59 Executive Park South, 4th Floor Suite, 4009, 30329, Atlanta, GA, USA.

Background: Image-guided percutaneous thoracolumbar spine biopsy is frequently performed in the setting of suspected septic facet arthritis or discitis osteomyelitis (DOM). There are limited data regarding factors associated with a positive biopsy result among these patients.

Materials And Methods: Patients with suspected DOM who underwent spine biopsy were identified. Read More

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February 2021

[Spondylodiscitis and epidural abscesses].

Radiologe 2021 Mar 11;61(3):275-282. Epub 2021 Feb 11.

Abteilung Neuroradiologie, Zentrum für Bildgebung, Kantonsspital Baden AG, Im Ergel 1, 5404, Baden, Schweiz.

Clinical/methodological Problem: Spondylodiscitis is an inflammation of the intervertebral disc, which in adults is generally associated with spondylitis of the adjacent vertebrae. It often presents clinically with nonspecific symptoms such as back or neck pain. It may be caused by various pathogens, especially bacteria. Read More

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Rare case of osteomyelitis caused by and in a postmenopausal woman.

BMJ Case Rep 2021 Feb 1;14(2). Epub 2021 Feb 1.

Department of Biomedical Sciences, Western Michigan University Homer Stryker MD School of Medicine, Kalamazoo, Michigan, USA

Vertebral osteomyelitis is an infection of the vertebrae that can lead to spinal degeneration, most commonly caused by Here, we report an unusual case of pyogenic osteomyelitis caused by and in a 61-year-old postmenopausal woman. The patient presented with a 2-week history of worsening lower back pain and fever and a recent episode of cystitis following re-engagement of sexual activity. Imaging revealed a deterioration of vertebrae discs and spinal canal stenosis at the L3-L4 levels with a formation of abscess in the right psoas muscle. Read More

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February 2021

Minimally invasive debridement and drainage using intraoperative CT-Guide in multilevel spondylodiscitis: a long-term follow-up study.

BMC Musculoskelet Disord 2021 Jan 29;22(1):120. Epub 2021 Jan 29.

Department of Orthopaedics, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing, China.

Background: Spondylodiscitis is an unusual infectious disease, which usually originates as a pathogenic infection of intervertebral discs and then spreads to neighboring vertebral bodies. The objective of this study is to evaluate percutaneous debridement and drainage using intraoperative CT-Guide in multilevel spondylodiscitis.

Methods: From January 2002 to May 2017, 23 patients with multilevel spondylodiscitis were treated with minimally invasive debridement and drainage procedures in our department. Read More

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January 2021

A 64-Year-Old Man with Low Back Pain Due to Clostridium perfringens Lumbar Discitis.

Am J Case Rep 2021 Jan 22;22:e928014. Epub 2021 Jan 22.

Department of Medicine, Indiana University School of Medicine, South Bend, IN, USA.

BACKGROUND Lumbar discitis caused by Clostridium perfringens is extremely rare. There have only been 7 published cases of confirmed discitis caused by Clostridium perfringens. We write this report to underscore this unusual relationship by discussing an additional case and providing a review of the previously published cases so clinicians can adequately evaluate and treat patients presenting with discitis. Read More

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January 2021

Total spine magnetic resonance imaging for detection of multifocal infection in pyogenic spondylodiscitis: a retrospective observational study.

BMC Musculoskelet Disord 2021 Jan 14;22(1):78. Epub 2021 Jan 14.

Department for Orthopedics, Trauma and Plastic Surgery, University Hospital Leipzig, Liebigstraße 20, 04103, Leipzig, Germany.

Background: Due to the unspecific symptoms of spondylodiscitis (SpD), an early radiological examination is necessary. However, controversially discussed is the need for magnetic resonance imaging of the entire spine to exclude multisegmental infections and to determine the required surgical interventions. The aims of this study were to assess the incidence of multilevel non-contiguous pyogenic SpD and compare comorbidities, pain symptoms, and subsequent surgical strategies between unifocal (uSpD) and multifocal (mSpD) SpD. Read More

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January 2021

Radiographic and clinical features of thoracic disk disease associated with myelopathy: a retrospective analysis of 257 cases.

Eur Spine J 2021 Jan 3. Epub 2021 Jan 3.

Department of Radiology, Peking University Third Hospital, 49 North Garden Road, Beijing, 100191, China.

Purpose: To analyze the clinical and radiographic characteristics of thoracic disk disease associated with myelopathy (TDM).

Methods: This is a retrospective clinical review of prospectively collected imaging data based at a single institute. Based on preoperative CT and MRI, we classified TDM as thoracic disk herniation (TDH), THD with ossification (THDO), TDH with posterior bony avulsions of the vertebrae (TDH with PBA), TDH with posterior vertebral osteophytes (TDH with PVO), giant thoracic osteophyte and calcific discitis with herniation (CDH). Read More

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January 2021

Video-assisted thoracoscopic image-guided spine surgery: evolution of 19 years of experience, from endoscopy to fully integrated 3D navigation.

Neurosurg Focus 2021 01;50(1):E8

Departments of1Neurological Surgery and.

Objective: The purpose of this study was to describe the evolution of thoracoscopic spine surgery from basic endoscopic procedures using fluoroscopy and anatomical localization through developmental iterations to the current technology use in which endoscopy and image-guided surgery are merged with intraoperative CT scanning.

Methods: The authors provided detailed explanations of their thoracoscopic spine surgery techniques, beginning with their early-generation endoscopy with fluoroscopic localization, which was followed with point surface matching techniques and early image guidance. The authors supplanted this with the modern era of image guidance, thoracoscopic spine surgery, and seamless integration that has reached its current level of refinement. Read More

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January 2021

Lumbosacral spondylodiscitis complicated by sepsis, osteomyelitis, epidural abscess formation and deep vein thrombosis.

BMJ Case Rep 2020 Dec 28;13(12). Epub 2020 Dec 28.

Rheumatology, Mater Dei Hospital, L-Imsida, Malta.

A 71-year-old man presented with a 3-month history of low back pain radiating to his right hip and thigh associated with lower limb weakness and constitutional symptoms. Imaging confirmed a lumbosacral spondylodiscitis at L2-3 and L5-S1 as well as a right-side psoas abscess which was treated with urgent CT-guided drainage and intravenous antibiotics. His admission was complicated by a number of issues, including the development of osteomyelitis with vertebral body destruction at multiple sites, epidural abscess formation and deep vein thrombosis. Read More

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December 2020

Best Practices: CT-Guided Percutaneous Sampling of Vertebral Discitis-Osteomyelitis and Technical Factors Maximizing Biopsy Yield.

AJR Am J Roentgenol 2020 Dec 18. Epub 2020 Dec 18.

Division of Musculoskeletal Imaging and Intervention, Department of Radiology, Massachusetts General Hospital.

Vertebral discitis-osteomyelitis is an infection of the intervertebral disc and vertebral bodies that may extend to adjacent paraspinal and epidural soft tissues. Its incidence is increasing, likely from improved treatments for predisposing chronic disease and increased rates of IV drug use and intravascular intervention. Because blood cultures are frequently negative in patients with vertebral discitis-osteomyelitis, biopsy is often indicated to identify a causative microorganism for targeted antimicrobial therapy. Read More

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December 2020

[Coexistent septic arthritis and spondylodiscitis as important differential diagnosis in immunosuppressed patients].

Z Rheumatol 2021 Mar 17;80(2):184-188. Epub 2020 Dec 17.

Medizinische Klinik III, Onkologie, Hämatologie, Rheumatologie und klinische Immunologie, Universitätsklinikum Bonn, Venusberg Campus 1, 53127, Bonn, Deutschland.

Septic arthritis and spondylodiscitis, especially in immunocompromised patients, constitute a major differential diagnosis of joint or back pain. This results in the invasion of a joint or spinal disc and its adjacent vertebral body by a pathogen. In most cases this is manifested as unspecific symptoms, such as local joint or back pain, fever and malaise. Read More

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Discitis following urinary tract infection manifesting as recurrent autonomic dysreflexia related to truncal movements in a person with tetraplegia.

BMJ Case Rep 2020 Dec 17;13(12). Epub 2020 Dec 17.

Spinal Injuries, Southport and Ormskirk Hospital NHS Trust, Southport, UK.

A 44-year-old male person with tetraplegia (C-5 AIS-A (American Spinal Cord Injury Association Standard Neurological Classification of Spinal Cord Injury Impairment Scale)) developed urinary tract infection and received appropriate antibiotic. Subsequently, he started sweating and shivering when he was sitting up; these symptoms resolved while lying on his back. Autonomic dysreflexia triggered by truncal movements continued to occur for 3 months. Read More

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December 2020

Does image-guided biopsy of discitis-osteomyelitis provide meaningful information to impact clinical management?

Skeletal Radiol 2021 Jul 23;50(7):1325-1336. Epub 2020 Nov 23.

NYU Langone Health, Department of Radiology at Hospital for Joint Diseases, 301 East 17th Street, Rm 600, New York, NY, 10003, USA.

Objective: The aims of this study are to assess the diagnostic yield of image-guided biopsy for discitis-osteomyelitis (DO), identify factors associated with biopsy yield (laboratory, pre-defined MRI findings, and biopsy technique), and impact of biopsy on management of patients appropriately selected according to the Infectious Disease Society of America guidelines (IDSA).

Materials And Methods: This is a retrospective review of patients who underwent biopsy for suspected DO from 2011 to 2019. Reference standards to establish diagnosis of DO in order were histopathology/microbiology from biopsy or subsequent surgical sampling, positive blood culture or serology, and imaging/clinical follow-up. Read More

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Intoxication by hand sanitizer due to delirium after infectious spondylitis surgery during the COVID-19 pandemic: A case report and literature review.

Authors:
Dong-Ju Lim

Int J Surg Case Rep 2020 27;77:76-79. Epub 2020 Oct 27.

Department of Orthopaedic Surgery, Seoul Spine Institute, Sanggye Paik Hospital, College of Medicine, Inje University, Department of Orthopaedic Surgery, Dongil-ro 1342, Nowon-gu, Seoul, 139-707, South Korea. Electronic address:

Introduction: Alcohol-containing hand sanitizers are part of the strategy to prevent person-to-person transmission during the COVID-19 pandemic. The purpose of this report was to present a case of ethanol-induced hand sanitizer intoxication after spine surgery in a patient with a postoperative delirious state.

Presentation Of Case: A 63-year-old man was admitted to the spine department with intractable back pain as the main symptom and diagnosed with infectious spondylitis with discitis. Read More

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October 2020

Defining Disc Biopsy Timing in Relation to Blood Culture Results for Inpatients with Suspected Discitis-Osteomyelitis.

J Vasc Interv Radiol 2021 01 31;32(1):121-127. Epub 2020 Oct 31.

Department of Radiology and Imaging Sciences, University of Utah Health Sciences Center, 30 North, 1900 East #1A071, Salt Lake City, UT 84132-2140.

Purpose: To determine optimal timing of biopsy for suspected discitis-osteomyelitis (DOM) with respect to preliminary blood culture results and the effect of biopsy timing on hospital length of stay (LOS).

Materials And Methods: This retrospective study reviewed disc/vertebral biopsies for suspected DOM performed between 2010 and 2018. A total of 107 disc/vertebral biopsies were performed on 96 inpatients (mean ± SD age 57. Read More

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January 2021

The impact of antibiotic pre-treatment on diagnostic yield of CT-guided biopsy for spondylodiscitis: A multi-centre retrospective study and meta-analysis.

J Med Imaging Radiat Oncol 2021 Apr 28;65(2):146-151. Epub 2020 Oct 28.

Radiology Department, Auckland Hospital, Auckland District Health Board, Auckland, New Zealand.

Introduction: Patients with suspected spondylodiscitis often undergo CT-guided biopsy to identify a causative microbiological organism. Antibiotic pre-treatment has been postulated as a cause for a negative biopsy, although previous clinical studies have been heterogenous with a meta-analysis suggesting no effect. The aim of this study was to assess the impact of antibiotic pre-treatment on microbiological yield. Read More

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Conservative versus operative management of postoperative lumbar discitis.

J Craniovertebr Junction Spine 2020 Jul-Sep;11(3):198-209. Epub 2020 Aug 14.

Department of Neurosurgery, Neurosurgery Clinic, Birgunj, Nepal.

Background: Treatment option of postoperative discitis (POD) is either conservative or operative, but till date, there are no established validated protocols of the treatment of postoperative lumbar discitis.

Aim: The aim of this study was to assess the outcome of conservative versus operative management of POD following single-level lumbar discectomy.

Methods: We prospectively studied a total of 38 cases of POD. Read More

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Chronic Rhinotillexomania Leading to Multiple Infectious Sequelae in a 66-Year-Old Female.

Cureus 2020 Aug 18;12(8):e9856. Epub 2020 Aug 18.

Hospice & Palliative Medicine, Catholic Health Initiatives St. Vincent Medical Center-North, Little Rock, USA.

Rhinotillexomania, more commonly known as nose-picking, is a body-focused repetitive behavior that involves compulsive picking of the nares. While nose-picking in general is a common and largely unharmful practice worldwide, severe complications from chronic nose-picking do exist. This case highlights a 66-year-old female with a longstanding history of nose-picking and nose blowing who presented to the emergency department with acute delirium and various bodily complaints. Read More

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A rare lumbar pyogenic spondylodiscitis caused by staphylococcus caprae with initial misdiagnosis: case report and literature review.

BMC Surg 2020 Sep 14;20(1):200. Epub 2020 Sep 14.

Department of Orthopedics, Beijing Friendship Hospital, Capital Medical University, No.95, Yong'an Road, Xicheng District, Beijing, 100050, China.

Background: Staphylococcus caprae (Sc) is an uncommon causative organism for human. Lumbar pyogenic spondylodiscitis (LPS) of Sc is extremely rare and only a few cases have been reported. As far as we know, there is no specific literature on the diagnosis and treatment for LPS of Sc with L5 nerve root irritation. Read More

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September 2020

Target-specific yield rate and clinical utility of percutaneous tissue sampling in spinal infection.

Clin Imaging 2020 Dec 27;68:257-262. Epub 2020 Aug 27.

Department of Radiology, Brigham and Women's Hospital/Harvard Medical School, Boston, MA, United States of America. Electronic address:

Background: Percutaneous tissue sampling in spondylodiscitis is frequently performed but with highly variable yield in literature and unclear clinical impact. Factors that influence the culture success rate are not well established.

Objective: To determine target specific yield and clinical impact of percutaneous biopsy in clinically and imaging diagnosed spinal infection and factors that may influence the yield rate. Read More

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December 2020

Imaging in the Diagnosis of Nonspecific Pyogenic Spondylodiskitis.

J Neurol Surg A Cent Eur Neurosurg 2020 Sep 10. Epub 2020 Sep 10.

Department of Radiology, University of Leipzig, Leipzig, Germany.

The prevalence of nonspecific pyogenic spondylodiskitis, associated with both a high morbidity and a high mortality, has increased in the last few decades. The diagnosis is often delayed because of the nonspecific clinical manifestation at the early stage. The reliability of radiographs is limited, particularly in early stage after the onset of infection. Read More

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September 2020

Azole-resistant Candida albicans Spondylodiscitis After Bariatric Surgery: A Case Report.

JBJS Case Connect 2020 Jul-Sep;10(3):e1900618

1Orthopedics and Traumatology Unit, São João University Hospital Center, Porto, Portugal 2Unit of Anatomy, Department of Biomedicine, Faculty of Medicine, University of Porto-Center for Health Technology and Services Research (CINTESIS), Porto, Portugal 3Infectious Disease Unit, São João University Hospital Center, Porto, Portugal.

Case: We present a case of azole and partial caspofungin-resistant Candida albicans spondylodiscitis, after bariatric surgery with bowel perforation. Treatment included debridement and several months of anidulafungin, complemented with antibacterial therapy because of relapse for bacterial superinfection. After treatment, the infection did not recur clinically or radiologically during one and half years follow-up. Read More

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