1,509 results match your criteria Imaging in Spondylodiskitis


Vertebral osteomyelitis: Clinical, microbiological and radiological characteristics of 116 patients.

Med Clin (Barc) 2020 May 20. Epub 2020 May 20.

Rheumatology Department, Hospital Universitari i Politècnic La Fe, Valencia, Spain.

Introduction/objectives: To describe the clinical, radiological and microbiological characteristics of vertebral osteomyelitis patients, analysing the factors that played a role on their outcome.

Patients And Methods: Single-centre retrospective observational study including patients diagnosed with vertebral osteomyelitis, based on the combination of clinical presentation with either a definitive bacteriological diagnosis and/or imaging studies.

Results: 116 adult patients were included with a mean age of 62. Read More

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http://dx.doi.org/10.1016/j.medcli.2019.12.029DOI Listing

Subacute Presentation of Central Cord Syndrome Resulting from Vertebral Osteomyelitis and Discitis: A Case Report.

Clin Pract Cases Emerg Med 2020 May 23;4(2):267-271. Epub 2020 Apr 23.

Arrowhead Regional Medical Center, Department of Emergency Medicine, Colton, California.

Introduction: Central cord syndrome (CCS) is a clinical syndrome of motor weakness and sensory changes. While CCS is most often associated with traumatic events. There have been few documented cases being caused by abscesses resulting from osteomyelitis. Read More

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http://dx.doi.org/10.5811/cpcem.2019.8.44201DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7220002PMC

Vague neck pain following a gastrointestinal procedure: a rare case presentation of vertebral osteomyelitis and cervical epidural abscess.

Spinal Cord Ser Cases 2020 May 13;6(1):40. Epub 2020 May 13.

The Rothman Orthopaedic Institute at Thomas Jefferson University, Philadelphia, PA, USA.

Introduction: Vertebral osteomyelitis (VO), spondylodiscitis, and spinal epidural abscesses (SEA) are infectious and inflammatory processes impacting the spine that cause major morbidity and mortality. They require prolonged hospital stays with expensive treatment regimens. Along with acute management, studies have provided evidence highlighting poor long-term outcomes. Read More

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http://dx.doi.org/10.1038/s41394-020-0290-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7220930PMC

Adjacent Segment Infection after Lumbar Fusion: A Case Report and the Literature Review.

Case Rep Orthop 2020 20;2020:2163909. Epub 2020 Jan 20.

Department of Orthopedics, Peking University Shougang Hospital, Shijingshang District, Beijing 100144, China.

Introduction: Adjacent segment infective spondylodiscitis is a rare type of surgical spinal infection after lumbar fusion with few reports. We report a further case of adjacent segment infection after three-level lumbar fusion managed successfully with anti-infective therapy and revision surgery. . Read More

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http://dx.doi.org/10.1155/2020/2163909DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7201821PMC
January 2020

Fluoroscopy-guided percutaneous needle aspiration of posterior epidural abscesses: a report of two cases.

Spinal Cord Ser Cases 2019 May 10;5(1):43. Epub 2019 May 10.

Department of Orthopedics and Rehabilitation, University of Wisconsin School of Medicine and Public Health, Madison, USA.

Introduction: Spinal epidural abscesses are most commonly treated with surgical decompression and antibiotics or in specific instances managed medically with antibiotic therapy alone. Image-guided percutaneous aspiration as an alternative to surgery has only rarely been reported in the literature.

Case Presentation: We report two cases of successful fluoroscopy-guided needle aspiration of posterior epidural abscesses. Read More

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http://dx.doi.org/10.1038/s41394-019-0190-zDOI Listing

Application of polyetheretherketone cages through minimally invasive oblique retroperitoneal approach for the treatment of lumbar polymicrobial spondylodiscitis: A STROBE-compliant retrospective study with 7 cases.

Medicine (Baltimore) 2020 Apr;99(17):e18594

Department of Orthopedics, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.

Despite the plethora of evidence in support of the use of structural osseous autograft in lumbar spondylodiscitis, attention has recently been turned to the addition of synthetic materials such as polyetheretherketone (PEEK) to restore anterior vertebral column support.From January 2015 to April 2017, 7 patients with lumbar polymicrobial spondylodiscitis were surgically treated with a minimally invasive oblique retroperitoneal approach to the infected focus. The patients underwent a standard lateral minimally invasive oblique retroperitoneal approach using direct lateral interbody fusion system. Read More

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http://dx.doi.org/10.1097/MD.0000000000018594DOI Listing
April 2020
5.723 Impact Factor

CT-guided discitis-osteomyelitis biopsies: needle gauge and microbiology results.

Skeletal Radiol 2020 Apr 18. Epub 2020 Apr 18.

Division of Musculoskeletal Imaging and Intervention, Department of Radiology, Massachusetts General Hospital, 55 Fruit Street Yawkey 6E, Boston, MA, 02114, USA.

Purpose: To compare the microbiology results and needle gauge for CT-guided biopsies of suspected discitis-osteomyelitis.

Methods: All CT-guided biopsies performed for suspected discitis-osteomyelitis at our institution between 2002 and 2019 were reviewed. Biopsy location, needle type and gauge, microbiology, pathology, and clinical and imaging follow-up were obtained through chart review. Read More

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http://dx.doi.org/10.1007/s00256-020-03439-3DOI Listing

Acute Symptomatic Calcific Discitis Mimicking a Septic Spondylodiscitis.

Case Rep Rheumatol 2020 9;2020:5454197. Epub 2020 Mar 9.

Department of Rheumatology, Henri Mondor University Hospital, Paris XII University-UPEC, Créteil, France.

Acute symptomatic calcific discitis is a poorly understood condition that has been mostly reported in children. Cases in adults have been scarcely reported and may mimic an infectious process. Imaging, including computed tomography, can show the disc calcification but might fail to show it because its resorption can occur early after the onset of symptoms. Read More

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http://dx.doi.org/10.1155/2020/5454197DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7085383PMC

Change in Bone CT Attenuation and C-Reactive Protein are Predictors of Bone Biopsy Culture Positivity in Patients with Vertebral Discitis/Osteomyelitis.

Spine (Phila Pa 1976) 2020 Mar 19. Epub 2020 Mar 19.

Department of Radiology, University of Pennsylvania, Philadelphia, PA 19104.

Study Design: Case-control study.

Objective: The objective of this study was to identify the best laboratory and imaging factors to predict bone biopsy culture positivity in the setting of vertebral discitis/osteomyelitis (VDO).

Summary Of Background Data: Good predictors of bone biopsy culture positivity in the setting of VDO are unknown. Read More

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http://dx.doi.org/10.1097/BRS.0000000000003504DOI Listing

Tuberculous spondylodiscitis in abscess form.

Rev Soc Bras Med Trop 2020;53:e20190581. Epub 2020 Mar 16.

Department of Radiology, Faculty of Medicine, Ataturk University, Erzurum, Turkey.

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http://dx.doi.org/10.1590/0037-8682-0581-2019DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7094044PMC

A minimally invasive, 3D-fluoroscopy-navigation-guided, 3D-controlled pedicle approach in spine surgery: first reliable results and impact on patient safety.

Eur J Trauma Emerg Surg 2020 Mar 2. Epub 2020 Mar 2.

Department of Trauma, Hand and Reconstructive Surgery, University Hospital Frankfurt, Theodor-Stern-Kai 7, 60590, Frankfurt am Main, Germany.

Purpose: Safe pedicle screw placement is a daily challenge to every spine surgeon. Introduction of minimally invasive approaches in spinal surgery led to an impaired facility of inspection of the surgical field increasing the importance of intraoperative imaging and navigation. During the past years, we established a minimally invasive, navigated approach in our clinical setting. Read More

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http://dx.doi.org/10.1007/s00068-020-01332-1DOI Listing

Sensing Living Bacteria Using d-Alanine-Derived C Radiotracers.

ACS Cent Sci 2020 Feb 4;6(2):155-165. Epub 2020 Feb 4.

Department of Radiology and Biomedical Imaging, University of California, San Francisco, San Francisco, California 94158, United States.

Incorporation of d-amino acids into peptidoglycan is a unique metabolic feature of bacteria. Since d-amino acids are not metabolic substrates in most mammalian tissues, this difference can be exploited to detect living bacteria . Given the prevalence of d-alanine in peptidoglycan muropeptides, as well as its role in several antibiotic mechanisms, we targeted this amino acid for positron emission tomography (PET) radiotracer development. Read More

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http://dx.doi.org/10.1021/acscentsci.9b00743DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7047270PMC
February 2020

Paraspinal Fat Stranding as an Unexpected Finding on Body Computed Tomography: A Key to Early Detection of Spinal Osteomyelitis.

J Clin Imaging Sci 2020 28;10. Epub 2020 Feb 28.

Department of Radiology, University of Illinois College of Medicine, Chicago, IL, United States.

Objective: At present, early detection of spinal osteomyelitis is a challenge. Patients may present with non-specific symptoms and diagnostic imaging studies may be obtained for seemingly unrelated complaints. Paraspinal fat stranding on body computed tomography (CT) as a sign of osteomyelitis is easily overlooked and has not been reported in the literature to our knowledge. Read More

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http://dx.doi.org/10.25259/JCIS_136_2019DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7049891PMC
February 2020

Does bone scintigraphy show Modic changes associated with increased bone turnover?

Eur J Radiol Open 2020 10;7:100222. Epub 2020 Feb 10.

Department of Diagnostic Radiology, Oulu University Hospital, Oulu, Finland.

Purpose: Our purpose was to evaluate whether Modic changes (MC) revealed in lumbar MRI are associated with increased tracer uptake shown in bone scintigraphy. To our knowledge, this has not previously been studied.

Methods: We included patients with MC shown in lumbar MRI and bone scintigraphy performed within six months before or after MRI. Read More

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http://dx.doi.org/10.1016/j.ejro.2020.100222DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7013126PMC
February 2020

Diagnosis and management of lumbar spp. discospondylitis using intraoperative cytology and external stabilization in a dog with disseminated infection.

Open Vet J 2019 10 7;9(3):185-189. Epub 2019 Jul 7.

Aúna Especialidades Veterinarias, Valencia 46980, Spain.

Background: Discospondylitis is an infection of the intervertebral disc and adjacent vertebral endplates. The infectious agent is most commonly a bacterial organism and fungal causes are uncommon.

Case Description: A 1. Read More

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http://dx.doi.org/10.4314/ovj.v9i3.1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6794401PMC
October 2019

Non-infectious thoracic discitis: A diagnostic and management dilemma. A report of two cases with review of the literature.

Clin Neurol Neurosurg 2020 Mar 7;190:105648. Epub 2020 Jan 7.

Department of Neurosurgery, University of Iowa Roy J. and Lucille A. Carver College of Medicine, Iowa City, Iowa, USA.

Discitis/ Osteomyelitis is an inflammatory process involving an intervertebral disc and the adjacent vertebral bodies. Infection is the most common cause of discitis, which is often spontaneous and hematogenous in origin. However, many noninfectious processes affecting the spine such as pseudarthrosis in ankylosing spondylitis, amyloidosis, destructive spondyloarthropathy of hemodialysis, Modic changes type 1, neuropathic arthropathy, calcium pyrophosphate dehydrate (CPPD) spondyloarthropathy and gout can mimic infectious discitis/ osteomyelitis. Read More

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http://dx.doi.org/10.1016/j.clineuro.2019.105648DOI Listing

MRI and clinical features of acute fungal discitis/osteomyelitis.

Eur Radiol 2020 Apr 3;30(4):2253-2260. Epub 2020 Jan 3.

Division of Musculoskeletal Imaging and Intervention, Department of Radiology, Massachusetts General Hospital and Harvard Medical School, 55 Fruit Street - YAW 6046 -, Boston, MA, 02114, USA.

Objectives: To compare imaging and clinical features of fungal and Staphylococcus aureus discitis-osteomyelitis (DO) for patients presenting for CT-guided biopsies.

Methods: Our study was IRB-approved and HIPAA-compliant. A group of 11 fungal DO (FG) with MRI within 7 days of the biopsy and a control group (CG) of 19 Staphylococcus aureus DO were evaluated. Read More

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http://dx.doi.org/10.1007/s00330-019-06603-zDOI Listing

Bilateral End-Organ Endophthalmitis in Setting of Serratia marcescens Urosepsis on 18F-FDG PET/CT.

Clin Nucl Med 2020 Mar;45(3):e141-e143

Department of Radiology and Imaging.

Endogenous endophthalmitis is an uncommon infection of the internal tissues of the eye resulting from a bloodborne infection. We present the case of an 89-year-old man with Serratia marcescens urosepsis with multifocal end-organ infection on F-FDG PET/CT including aortitis, splenic abscess, septic arthritis, thoracolumbar discitis-osteomyelitis, and culture-confirmed bilateral endogenous endophthalmitis. Endophthalmitis-related intraconal ocular space uptake was clearly distinguishable from normal conal space extraocular muscle activity. Read More

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http://dx.doi.org/10.1097/RLU.0000000000002883DOI Listing

Paediatric spondylodiscitis: a 10-year single institution experience in management and clinical outcomes.

Childs Nerv Syst 2020 May 17;36(5):1049-1054. Epub 2019 Dec 17.

Department of Neurosurgery, Birmingham Children's Hospital, Birmingham, B4 6NH, UK.

Purpose: Discitis in the paediatric population poses diagnostic challenges due to non-specific presenting symptoms and difficulty with expressing pain in non-communicating children. Discitis remains a relatively rare condition in the paediatric population and previous reports are limited to small cohorts. In this article, we report our experience in management of discitis over a 10-year period and review the literature on this topic. Read More

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http://dx.doi.org/10.1007/s00381-019-04470-zDOI Listing
May 2020
1.163 Impact Factor

Minimally Invasive Lateral Retropleural Approach to the Thoracic Spine for Salvage of a Subsided Expandable Interbody Cage.

World Neurosurg 2020 Mar 10;135:58-62. Epub 2019 Dec 10.

Department of Neurosurgery and Brain Repair, Morsani College of Medicine, University of South Florida, Tampa, Florida, USA.

Background: Cylindrical expandable cages are commonly used as interbody grafts after cervical, thoracic, or lumbar corpectomy in patients with osteomyelitis. Unfortunately, there is a high incidence of hardware subsidence due to small-diameter footplates. Newer expandable intervertebral cages with large rectangular endcaps use the anatomic strength of the vertebral epiphyseal ring to prevent subsidence. Read More

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http://dx.doi.org/10.1016/j.wneu.2019.12.008DOI Listing

Giant Iliac Artery Pseudoaneurysm Mimicking Postoperative Fluid Collection and Diskitis.

World Neurosurg 2020 Apr 6;136:253-257. Epub 2019 Dec 6.

Division of Neuroradiology, Department of Radiology, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania, USA.

Background: In this report, we describe an extremely rare case of a giant pseudoaneurysm of the internal iliac artery causing marked destructive changes at a disk space and mimicking diskitis-osteomyelitis. Only 2 other cases of pseudoaneurysms extending into the disk space have been reported, and those arose from the aorta and were relatively straightforward to diagnose.

Case Description: Our case is unique because the pseudoaneurysm arose from the internal iliac artery, an artery that is not usually included in the field of view of lumbar magnetic resonance imaging or computed tomography. Read More

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http://dx.doi.org/10.1016/j.wneu.2019.11.176DOI Listing

Management of lumbar spondylodiscitis developing after laparoscopic sacrohysteropexy with a mesh: A case report and review of the literature.

Medicine (Baltimore) 2019 Dec;98(49):e18252

Department of Obstetrics and Gynecology, Affiliated Hospital of North Sichuan Medical College, Nanchong, China.

Introduction: Lumbar spondylodiscitis is a rare and severe complication of laparoscopic sacrohysteropexy with a polypropylene mesh. However, a case of lumbar spondylodiscitis following laparoscopic sacrohysteropexy has not been reported so far. We present a case of lumbar spondylodiscitis following laparoscopic sacrohysteropexy with a mesh. Read More

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http://dx.doi.org/10.1097/MD.0000000000018252DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6919408PMC
December 2019

CT-guided discitis-osteomyelitis biopsies with negative microbiology: how many days should we wait before repeating the biopsy?

Skeletal Radiol 2020 Apr 23;49(4):619-623. Epub 2019 Nov 23.

Division of Musculoskeletal Imaging and Intervention, Department of Radiology, Massachusetts General Hospital, 55 Fruit Street Yawkey 6E, Boston, MA, 02114, USA.

Purpose: To determine the number of days to positive CT-guided biopsy sample culture in patients with discitis-osteomyelitis.

Methods: Our study was IRB approved and HIPAA compliant. All CT-guided biopsies performed for acute discitis-osteomyelitis with positive microbiology between 2002 and 2018 were reviewed. Read More

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http://dx.doi.org/10.1007/s00256-019-03344-4DOI Listing

spondylodiscitis with psoas abscess.

BMJ Case Rep 2019 Nov 19;12(11). Epub 2019 Nov 19.

Department of Microbiology, University Hospital Limerick, Limerick, Ireland.

() is a Gram-positive anaerobic cocci, normally found in the oral cavity and rarely causes severe infections. We describe a rare clinical presentation of as spondylodiscitis and psoas abscess with haematogenous spread in an adult patient. MRI lumbar spine detected L2 and L3 spondylodiscitis. Read More

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http://dx.doi.org/10.1136/bcr-2019-232040DOI Listing
November 2019

Adjacent Level Tuberculous Spondylodiscitis Leading to Proximal Junctional Kyphosis: Rare and Unusual Presentation.

World Neurosurg 2020 Feb 9;134:e808-e814. Epub 2019 Nov 9.

Department of Spine Services, Indian Spinal Injuries Centre, New Delhi, India.

Background: Vertebral osteomyelitis manifesting as a compression fracture misdiagnosed in the setting of steroid-induced or senile osteoporosis is very rare, although such patients are prone to infection or reactivation, as their immune system is exhausted. Spondylodiscitis occurring at adjacent levels following instrumented spinal fusion leading to pathologic fracture and proximal junctional failure, especially caused by tuberculosis, to our knowledge, has not been discussed in the literature.

Methods: In case 1, a 61-year-old woman with osteoporotic T12 collapse was treated with corpectomy, anterior reconstruction, and posterior fixation from T9-L2. Read More

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http://dx.doi.org/10.1016/j.wneu.2019.11.007DOI Listing
February 2020

Intra-discal drain insertion for culture and drainage of pyogenic spondylodiscitis: A one-step diagnostic and therapeutic procedure.

Interv Neuroradiol 2020 Feb 26;26(1):105-110. Epub 2019 Oct 26.

Bar-Ilan Medical School, Tsfat, Israel.

Background: Pyogenic spondylodiscitis is diagnosed in recent years at higher rates due to the aging population, increased survival of chronic and immune suppressed patients, and the higher rate of invasive procedures leading to bacterial seeding or direct contamination of the disc space. Treatment guidelines encourage bacterial sampling before initiation of antibiotic therapy, and drainage of pus collections. We present our experience with percutaneous CT-guided drain insertion into the disc space itself as a one-step procedure for both culturing and subsequent continuous drainage of the infected disc space. Read More

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http://dx.doi.org/10.1177/1591019919885557DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6998002PMC
February 2020

Atypical presentation of Lemierre's syndrome: case report and literature review.

BMC Infect Dis 2019 Oct 21;19(1):868. Epub 2019 Oct 21.

Service of Infectious Diseases, Department of Medicine, Geneva University Hospitals and the University of Geneva, 4 Rue Gabrielle-Perret-Gentil, 1211, Geneva 14, Switzerland.

Background: The classic Lemierre's syndrome refers to a septic thrombosis of the internal jugular vein, usually caused by a Fusobacterium necrophorum infection starting in the oral cavity, and typically complicated by pulmonary emboli. However, unusual forms of the disorder have been rarely reported.

Case Presentation: We describe an unusual case of a previously healthy 58-year-old male with Lemierre's syndrome, manifesting with lumbar pain and fever. Read More

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http://dx.doi.org/10.1186/s12879-019-4538-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6805316PMC
October 2019
2 Reads

Fluoroscopy-guided percutaneous needle aspiration of posterior epidural abscesses: a report of two cases.

Spinal Cord Ser Cases 2019 10;5:43. Epub 2019 May 10.

2Department of Orthopedics and Rehabilitation, University of Wisconsin School of Medicine and Public Health, Madison, USA.

Introduction: Spinal epidural abscesses are most commonly treated with surgical decompression and antibiotics or in specific instances managed medically with antibiotic therapy alone. Image-guided percutaneous aspiration as an alternative to surgery has only rarely been reported in the literature.

Case Presentation: We report two cases of successful fluoroscopy-guided needle aspiration of posterior epidural abscesses. Read More

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http://dx.doi.org/10.1038/s41394-019-0190-zDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6786395PMC
May 2019
2 Reads

Postoperative Lumbar Pyogenic Spondylodiscitis: An Institutional Review.

J Neurosci Rural Pract 2019 Jul 7;10(3):511-518. Epub 2019 Oct 7.

Department of Neurosurgery, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.

  Postoperative discitis (POD) remains a dreaded complication in the present era of asepsis. The treatment has been traditionally conservative, but the safety of spinal implants in infective settings has prompted the surgeons to provide rigid immobilization for promoting healing. A major concern in a country like ours is huge patient inflow and long waiting list added to the woe of patient's refusal for a second operative intervention after a first undesirable outcome. Read More

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http://dx.doi.org/10.1055/s-0039-1697887DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6779550PMC
July 2019
1 Read

Bacteria: back pain, leg pain and Modic sign-a surgical multicentre comparative study.

Eur Spine J 2019 12 1;28(12):2981-2989. Epub 2019 Oct 1.

Karolinska University Hospital, 17164, Stockholm, Sweden.

Purpose: To compare bacterial findings in pain-generating degenerated discs in adults operated on for lumbar disc herniation (LDH), and mostly also suffering from low back pain (LBP), with findings in adolescent patients with non-degenerated non-pain-generating discs operated on for scoliosis, and to evaluate associations with Modic signs on magnetic resonance imaging (MRI). Cutibacterium acnes (Propionibacterium acnes) has been found in painful degenerated discs, why it has been suggested treating patients with LDH/LBP with antibiotics. As multidrug-resistant bacteria are a worldwide concern, new indications for using antibiotics should be based on solid scientific evidence. Read More

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http://dx.doi.org/10.1007/s00586-019-06164-1DOI Listing
December 2019
1 Read

Cervical spondylodiscitis caused by in a non-immunocompromised patient: A case report and review of literature.

Surg Neurol Int 2019 2;10:151. Epub 2019 Aug 2.

Department of Neurosurgery, Detroit Medical Center/Wayne State University School of Medicine, Detroit, Michigan.

Background: Fungal cervical spondylodiscitis is rare and accounts for less than 1% of all cervical, thoracic, and lumbar vertebral osteomyelitis and discitis.

Case Description: A 32-year-old non-immunocompromised male presented with persistent neck pain and paresthesias. The magnetic resonance imaging of the cervical spine demonstrated a contrast-enhancing erosive lesion involving the cervical C6 and C7 vertebral bodies accompanied by epidural phlegmon. Read More

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http://dx.doi.org/10.25259/SNI_240_2019DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6744757PMC
August 2019
2 Reads

First Report of Candida auris Spondylodiscitis in Oman: A Rare Presentation.

World Neurosurg 2020 Mar 13;135:335-338. Epub 2019 Sep 13.

Khoula Hospital, Muscat, Oman.

Background: Candida auris is an emerging superbug which was recently discovered and has spread widely across the world. With a steady rise in incidence involving multisystems, this presents a unique challenge to caregivers.

Case Description: A 50-year-old man with sickle cell disease, diabetes mellitus, and multiple surgeries presented with progressive low back pain radiating to bilateral limbs and intact neurology. Read More

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http://dx.doi.org/10.1016/j.wneu.2019.09.021DOI Listing
March 2020
1 Read

Gout involved the cervical disc and adjacent vertebral endplates misdiagnosed infectious spondylodiscitis on imaging: case report and literature review.

BMC Musculoskelet Disord 2019 Sep 14;20(1):425. Epub 2019 Sep 14.

Department of Radiology, the First Affiliated Hospital of Chongqing Medical University, 1 Youyi Road, Yuzhong District, Chongqing, 400016, China.

Background: Gout in spine is rare and commonly mimics some infectious or tumoral lesions, the differentiation of spinal gout from other diseases is not always easy. We report a case of gout involved cervical disc and adjacent vertebral endplates whose etiology was initially not determined. Compared with the previous published 10 similar cases, this case displayed a complete and continuous image data with higher image quality and resolution than before. Read More

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https://bmcmusculoskeletdisord.biomedcentral.com/articles/10
Publisher Site
http://dx.doi.org/10.1186/s12891-019-2813-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6745074PMC
September 2019
3 Reads

Acute Calcific Discitis or Symptomatic Calcified Schmorl's Node of the Upper Thoracic Spine in an Adult: A Case Report and Literature Review.

Asian J Neurosurg 2019 Jul-Sep;14(3):1021-1029

Department of Neurology, Prasat Neurological Institute, Bangkok, Thailand.

We describe a patient with acute calcific discitis following symptomatic Schmorl's node (SN) of upper thoracic spine. A 28-year-old female suffered from sudden severe pain in mid-thoracic, left scapular area, radiating to her chest. Plain radiography of the thoracic spine showed calcification in T3-4 intervertebral disc space. Read More

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http://dx.doi.org/10.4103/ajns.AJNS_119_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6703016PMC
September 2019
3 Reads

[Clinical Features and Prognosis Factors of Spinal Tuberculosis in Northern Tunisia: A Case Series of 60 Patients].

Bull Soc Pathol Exot 2019 ;112(2):71-78

Service de rhumatologie, faculté de médecine de Tunis, université de Tunis-El-Manar, hôpital Charles-Nicolle, Tunisie.

Spondylodiscitis is a common but potentially serious form of extra-pulmonary tuberculosis. Very few descriptions are known from Tunisia. We have conducted a retrospective study including 60 cases of spinal tuberculosis, performed over a period of 20 years (1996-2016). Read More

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http://dx.doi.org/10.3166/bspe-2019-0080DOI Listing
January 2020
3 Reads

Safety and efficacy of percutaneous instrumentation combined with antibiotic treatment in spondylodiscitis.

Orthop Traumatol Surg Res 2019 10 27;105(6):1165-1170. Epub 2019 Aug 27.

Service de chirurgie du Rachis, hôpitaux universitaires de Strasbourg, 67200 Strasbourg, France.

Background: Patients with spondylodiscitis are treated with antibiotics and braces for 6 to 12 weeks. Braces aim to decrease pain and prevent kyphotic deformity due to vertebral body collapse. Percutaneous instrumentation could be an alternative to influence pain and patient's autonomy. Read More

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http://dx.doi.org/10.1016/j.otsr.2019.05.016DOI Listing
October 2019
1 Read

sacral spondylodiscitis and epidural abscess after sacrocolpopexy: a case report and literature review.

J Int Med Res 2019 Sep 22;47(9):4568-4574. Epub 2019 Aug 22.

Department of General Gynaecology and Gynaecologic Urology, University Medical Centre Maribor, Maribor, Slovenia.

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http://dx.doi.org/10.1177/0300060519866270DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6753561PMC
September 2019
2 Reads

Spondylodiscitis due to following lumbosacral intradiscal biologic therapy: a case report.

Regen Med 2019 09 19;14(9):823-829. Epub 2019 Aug 19.

Regenerative Sportscare Institute, New York, NY 10128, USA.

A 40-year-old woman with a history of chronic low back pain underwent a fluoroscopically guided intradiscal platelet-rich plasma injection (PRP) at the L5-S1 level. She subsequently developed progressive low back pain, night sweats and decreased ability to ambulate. Laboratory work-up revealed elevated acute phase reactants and imaging revealed L5-S1 intervertebral disc and vertebral end-plate abnormalities highly suggestive of spondylodiscitis. Read More

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http://dx.doi.org/10.2217/rme-2019-0008DOI Listing
September 2019
2 Reads

Imaging features of discospondylitis in cats.

J Feline Med Surg 2019 Aug 16:1098612X19869705. Epub 2019 Aug 16.

1 Dovecote Veterinary Hospital, Derby, UK.

Objectives: This study describes the imaging features of feline discospondylitis on MRI, comparing them to CT and radiographic findings where available.

Methods: The medical records of cats diagnosed with discospondylitis, presented to three referring institutions, were reviewed. MRI, CT and radiographic features were assessed by two of the authors independently. Read More

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http://dx.doi.org/10.1177/1098612X19869705DOI Listing
August 2019
3 Reads

The role of 18F-FDG PET/CT in early infectious discitis: a case report after a negative MRI.

Radiol Case Rep 2019 Oct 3;14(10):1214-1220. Epub 2019 Aug 3.

Rheumatology Department, La Fe Hospital, Avda de Fernando Abril Martorell, 106, Valencia 46026, Spain.

We present the case of a 70 years old woman with infectious discitis which was detected using Fluorine fluodeoxiglucose positron emission tomography/computed tomography (18F-FDG PET/CT), after a negative magnetic resonance imaging. A ( gender bacteria) grow on culture. In addition 18F-FDG PET also demonstrated infectious endocarditis which was confirmed by transesophageal echocardiography and a colonic neoplasm. Read More

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http://dx.doi.org/10.1016/j.radcr.2019.04.006DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6690638PMC
October 2019
2 Reads

Pyogenic Spondylitis: Clinical Features, Diagnosis and Treatment.

Kurume Med J 2019 Sep 9;65(3):83-89. Epub 2019 Aug 9.

Department of Orthopaedic Surgery, Kurume University School of Medicine.

Although pyogenic spondylitis is an infrequent infection, its incidence is increasing because of the growing number of elderly people and immunocompromised patients. Diagnosis is often difficult and appropriate imaging, blood cultures and/or biopsy are essential in making an early diagnosis. Most of the cases can be treated non-operatively. Read More

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http://dx.doi.org/10.2739/kurumemedj.MS653001DOI Listing
September 2019
5 Reads

Acute pseudogout lumbar discitis resembling acute pyelonephritis in an elderly woman.

Intern Med J 2019 08;49(8):1048-1050

Department of Orthopaedic Surgery, Fukushima Medical University School of Medicine, Fukushima, Japan.

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http://dx.doi.org/10.1111/imj.14390DOI Listing
August 2019
2 Reads

68Ga-PSMA Uptake in Escherichia coli Spondylodiscitis.

Clin Nucl Med 2019 Nov;44(11):916-919

From the Departments of Nuclear Medicine & PET-Centre.

In a patient with recently diagnosed intermediate-risk prostate cancer, Ga-prostate-specific-membrane-antigen (PSMA) PET/CT for primary staging discovered increased Ga-PSMA uptake in spondylodiscitis in the thoracic spine. The bacteria Escherichia coli was found both in blood cultures and bone biopsies from the thoracic lesion. This case presents spondylodiscitis as a potential benign pitfall to be aware of when interpreting PSMA PET/CT in prostate cancer patients. Read More

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http://dx.doi.org/10.1097/RLU.0000000000002752DOI Listing
November 2019

Progressive Back Pain due to Vertebral Osteomyelitis in an Immunocompetent Patient: Surgical and Antifungal Management.

Case Rep Orthop 2019 2;2019:4268468. Epub 2019 Jul 2.

Department of Neurological Surgery, Mayo Clinic Arizona, 5777 East Mayo Boulevard, Phoenix, AZ 85054, USA.

Case Report: osteomyelitis is a destructive and progressive infection that has been described both in immunosuppressed and in immunocompetent hosts. We describe a case of lumbar vertebral osteomyelitis in a 61-year-old immunocompetent patient due to that was successfully treated with a combination of extensive surgical debridement, spinal stabilization, and a prolonged course of antifungal therapy. Imaging demonstrated findings consistent with L3 discitis. Read More

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http://dx.doi.org/10.1155/2019/4268468DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6636486PMC
July 2019
4 Reads

Prevertebral neck abscess with : a case presentation and literature review.

BMJ Case Rep 2019 Jul 24;12(7). Epub 2019 Jul 24.

ENT Department, Queen Elizabeth University Hospital, Glasgow, UK.

We describe an unusual case of a 58-year-old man with type 2 diabetes mellitus (T2DM) developing sepsis secondary to a prevertebral neck abscess. Following cross-sectional imaging, the patient underwent surgical drainage. was isolated from urine, blood and pus cultures. Read More

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http://dx.doi.org/10.1136/bcr-2019-230881DOI Listing
July 2019
4 Reads

Diagnostic yield of computed tomography-guided biopsy and aspiration for vertebral osteomyelitis.

J Med Imaging Radiat Oncol 2019 Oct 12;63(5):589-595. Epub 2019 Jul 12.

Department of Radiology, Alfred Hospital, Melbourne, Victoria, Australia.

Introduction: The diagnostic yield of and best approaches for imaging-guided percutaneous biopsy for vertebral osteomyelitis is controversial. Early studies suggest yields of up to 90%; however, recent evidence shows lower yields of 30-40%. We aim to determine yield and predictors of yield in percutaneous CT-guided biopsies in vertebral osteomyelitis. Read More

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http://dx.doi.org/10.1111/1754-9485.12923DOI Listing
October 2019
4 Reads
0.951 Impact Factor

Treatment considerations for cervical and cervicothoracic spondylodiscitis associated with esophageal fistula due to cancer history or accidental injury: a 9-patient case series.

Acta Neurochir (Wien) 2019 09 29;161(9):1877-1886. Epub 2019 Jun 29.

Department of Neurosurgery, Klinikum rechts der Isar, Technical University Munich, Ismaninger Straße 22, 81675, Munich, Germany.

Background: The combination of cervical spondylodiscitis and esophageal fistula is rare but life-threatening. Due to both the rarity of these conditions' coincidence and the complexity and heterogeneity of individual cases, there is no optimal treatment or management approach. The aims of this study are to obtain an overview of patients' outcomes and to discuss treatment options. Read More

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http://dx.doi.org/10.1007/s00701-019-03985-3DOI Listing
September 2019
11 Reads

Aspergillus terreus spondylodiscitis following an abdominal stab wound: a case report.

J Med Case Rep 2019 Jun 5;13(1):172. Epub 2019 Jun 5.

Department of Orthopaedic Surgery, Graduate School of Medicine, Kanazawa University, 13-1 Takara-machi, Kanazawa City, Ishikawa, 920-8641, Japan.

Background: Aspergillus terreus, a saprophytic fungus, is recognized as an emerging pathogen in various infections in humans. However, bone and joint involvement is uncommon. To the best of our knowledge, only seven cases of spondylodiscitis caused by Aspergillus terreus have been reported previously in humans. Read More

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http://dx.doi.org/10.1186/s13256-019-2109-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6549268PMC
June 2019
12 Reads

New Strategy for Minimally Invasive Endoscopic Surgery to Treat Infectious Spondylodiscitis in the Thoracolumbar Spine.

Pain Physician 2019 05;22(3):281-293

Department of Orthopaedic Surgery, China Medical University Hospital, China Medical University, Taichung, Taiwan, R.O.C.; School of Medicine, China Medical University, Taichung, Taiwan, R.O.C.

Background: Eradicating infection, protecting neurologic function, and maintaining structural alignment are the 3 objectives of treatment for infectious spondylodiscitis. For some patients, surgery may be necessary to achieve these goals; however, open surgeries are associated with high morbidity and mortality in elderly patients and those with multiple comorbidities. Endoscopic surgery provides a minimally invasive surgical option for obtaining a culture sample to aid identification of pathogens, while also providing a route for adequate decompression and drainage. Read More

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May 2019
13 Reads