1,663 results match your criteria Imaging in Spondylodiskitis


Extensive Spinal Epidural Abscess Resulting in Complete Paraplegia Treated by Selective Laminectomies and Irrigation.

Orthop Surg 2022 Jun 22. Epub 2022 Jun 22.

Department of Spinal Surgery, The Affiliated Hospital of Qingdao University, Qingdao, China.

Background: Spinal epidural abscess (SEA) is an uncommon clinical entity that is often subject to delayed diagnosis and suboptimal treatment. Untreated disease leads to compression of the spinal cord, resulting in devastating complications.

Case Presentation: A 56-year-old man visited our hospital for progressive lower back and lower extremity pain of several days' duration. Read More

View Article and Full-Text PDF

Epidural phlegmon and iliopsoas abscess caused by Salmonella enterica bacteremia: A case report.

Int J Surg Case Rep 2022 Jun 7;96:107287. Epub 2022 Jun 7.

Community Memorial Hospital, Graduate Medical Education, 147 N. Brent Street, Ventura, CA 93003, United States of America.

Introduction And Importance: Iliopsoas abscesses (IPA) are rare and typically present with a non-specific triad of fever, back pain, and antalgic gait. Staphylococcus aureus is the organism responsible for nearly 90 % of IPA cases. We present a case of primary IPA with progression to osteomyelitis and discitis due to Salmonella enterica bacteremia, an exceedingly rare etiology occurring in an otherwise healthy individual. Read More

View Article and Full-Text PDF

Imaging characteristics and CT sensitivity for pyogenic spinal infections.

Am J Emerg Med 2022 May 30;58:148-153. Epub 2022 May 30.

Department of Military and Emergency Medicine, Uniformed Services University of Health Sciences, 4301 Jones Bridge Road, Bethesda, MD 20814, USA; United States Air Force En route Care Research Center, 59th MDW/ST, JBSA-Fort Sam Houston, TX 78234, USA.

Background/objective: Contrast-enhanced magnetic resonance imaging (MRI) is the preferred imaging modality for diagnosing pyogenic spinal infection (PSI), but it is not always available. Our objective was to describe pyogenic spinal infection imaging characteristics in patients presenting to a community emergency department (ED) and estimate the computed tomography (CT) sensitivity for these infections.

Methods: We examined the MRI reports from a cohort of 88 PSI patients whom we enrolled in a prospective cohort study and report the prevalence of each PSI type (spinal epidural abscess/infection, vertebral osteomyelitis/discitis, septic facet, and paravertebral abscess/infection) according to contemporary nomenclature. Read More

View Article and Full-Text PDF

A 27-Year-Old Woman Diagnosed with Tuberculous Spondylitis, or Pott Disease, During Pregnancy: A Case Report.

Am J Case Rep 2022 Jun 10;23:e936583. Epub 2022 Jun 10.

Department of Obstetrics and Gynecology, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia.

BACKGROUND Tuberculous spondylitis, or Pott disease, includes vertebral body osteomyelitis and intervertebral discitis following infection with Mycobacterium tuberculosis and can present with vertebral collapse and back pain. This report is of a 27-year-old woman diagnosed with tuberculous spondylitis, or Pott disease, during pregnancy. CASE REPORT A 27-year-old female, in her first pregnancy and at 29 weeks of gestation, presented to the Emergency Department with worsening severe neck and back pain for the past 5 months. Read More

View Article and Full-Text PDF

An Isolated Radiographic Finding of Spontaneous Vertebral Osteomyelitis.

Cureus 2022 May 1;14(5):e24646. Epub 2022 May 1.

Internal Medicine, Brandon Regional Hospital, Brandon, USA.

Vertebral osteomyelitis (VO) is an infection of the vertebral body, most often arising secondary to hematogenous spread or contiguous spread from local soft tissue infection. Establishing a diagnosis of VO requires a high index of suspicion as patients often present with nonspecific symptoms such as pain of the affected vertebral segments along with leukocytosis and elevated inflammatory markers. Magnetic resonance imaging (MRI) has high sensitivity and specificity for detecting VO, even in the early phases of infection. Read More

View Article and Full-Text PDF

Infective Endocarditis Presenting with Embolic Splenic and Renal Infarcts and Spinal Discitis.

Case Rep Infect Dis 2022 14;2022:7183049. Epub 2022 May 14.

Department of Internal Medicine, Riverside University Health System Medical Center, Moreno Valley, California, USA.

(. ) is a Gram-positive, coagulase-negative bacteria that occurs as a normal commensal organism on the skin and may rarely cause native valve endocarditis (NVE). We present a 62-year-old male with type 2 diabetes mellitus, coronary artery disease, and hypertension presenting with fever and abdominal pain. Read More

View Article and Full-Text PDF

Different responses of cervical intervertebral disc caused by low and high virulence bacterial infection: a comparative study in rats.

Bioengineered 2022 05;13(5):12446-12461

Department of Orthopaedic Surgery, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.

The aims of this study were to investigate the outcomes of low- and high-virulence bacterial cervical intervertebral discs (IVDs) infection and its association with cervical IVDs degeneration in rats. A total of 75 clean grade male rats were used to establish the corresponding animal models of low and high virulent bacterial cervical disc infection via an anterior cervical approach, with injection of Propionibacterium acnes (P. acnes) and Staphylococcus epidermidis (S. Read More

View Article and Full-Text PDF

External Review and Validation of a Spinal Epidural Abscess Predictive Score for Clinical Failure.

World Neurosurg 2022 Jul 23;163:e673-e677. Epub 2022 Apr 23.

Department of Neurological Surgery, University of Wisconsin Hospitals and Clinics, Madison, Wisconsin, USA. Electronic address:

Background: Spinal epidural abscess (SEA) is a rare but serious pathology that may result in delayed neurologic injury despite treatment with antibiotic therapy or surgery. Given this, the development of predictive scores for risk stratification has value in clinical decision making; however, external validation is necessary to understand their generalizability and reliability.

Methods: A retrospective review was conducted of all patients presenting with SEA at a single institution. Read More

View Article and Full-Text PDF

Spondylodiscitis secondary to : a case report.

J Spine Surg 2022 Mar;8(1):62-69

Department of Pathology, University of Toledo Medical Center, Toledo, Ohio, USA.

Background: Spondylodiscitis secondary to () is a rare primary infection of the spine, with a few case reports highlighted. Treatment of this infection is not well established but here we discuss a case where a patient recovered well following early aggressive surgical intervention and antibiotic treatment.

Case Description: A 32-year-old male presented with a 3-month history of worsening low back pain, Horner's syndrome, dysphagia, lower extremity weakness, and a 5-day history of bowel and bladder incontinence. Read More

View Article and Full-Text PDF

Severe disseminated Veillonella parvula infection including endocarditis, bilateral psoas abscess, discitis, and osteomyelitis but sparing spinal and hip prostheses: a case report.

J Med Case Rep 2022 Apr 20;16(1):157. Epub 2022 Apr 20.

Geriatric Medicine, St John of God Midland Public and Private Hospitals, 1 Clayton St, Midland, WA, 6056, Australia.

Background: Veillonella species are an opportunistically pathogenic commensal anaerobic Gram-negative coccus commonly found in the oral, genitourinary, respiratory, and intestinal tract of humans and some animals. Infection is rare, even in immunocompromised hosts, and has been identified to cause a wide array of different infections, including endocarditis, osteomyelitis, and meningitis.

Case Presentation: An 82-year-old Caucasian male retired ex-gymnast presented to the emergency department with a 2-week history of acute on chronic lower back pain without clear precipitant. Read More

View Article and Full-Text PDF

Septic embolism of the lung due to spondylodiscitis.

Rev Soc Bras Med Trop 2022 8;55:e06622021. Epub 2022 Apr 8.

Bursa City Hospital, Department of Radiology, Bursa, Turkey.

View Article and Full-Text PDF

Diagnostic Yield of Computed Tomography-Guided Procedures for Spondylodiscitis.

Cardiovasc Intervent Radiol 2022 Jun 7;45(6):800-807. Epub 2022 Apr 7.

Interventional Radiology, Department of Radiology, University of São Paulo Medical School, Av. Dr. Enéas Carvalho de Aguiar, 255, Sao Paulo, SP, 05403-000, Brazil.

Purpose: To identify the diagnostic yield and predictive factors for microbiological diagnosis in patients with spondylodiscitis through computed tomography (CT)-guided biopsy or aspiration.

Materials And Methods: A retrospective review of 102 patients with suspected spondylodiscitis who underwent CT-guided procedures in an 8-year period was conducted. Analyzed variables were demographic data, C-reactive protein, pre-biopsy MRI findings, prior antibiotic use, site of biopsy/aspiration, histopathological findings, culture results and radiation dose. Read More

View Article and Full-Text PDF

Humeral Diaphyseal Osteolytic Lesion as the Initial Presentation of Acute Myeloid Leukemia in a Child: A Case Report and Review of the Literature.

Cureus 2022 Mar 3;14(3):e22791. Epub 2022 Mar 3.

Department of Orthopaedic Surgery, Gifu University Graduate School of Medicine, Gifu, JPN.

It is well known that acute myeloid leukemia (AML) is characterized by lethargy, fever, pallor, and purpura. In children, however, skeletal symptoms may be present at onset in rare cases, and such cases tend to be misdiagnosed as osteomyelitis or septic arthritis. To distinguish acute leukemia from osteomyelitis or bone tumor, the utility of magnetic resonance imaging (MRI) has been discussed. Read More

View Article and Full-Text PDF

Paraspinal soft tissue edema ratio: An accurate marker for early lumbar spine spondylodiscitis on an unenhanced MRI.

Clin Imaging 2022 Jun 14;86:38-42. Epub 2022 Mar 14.

Medical College of Wisconsin Department of Radiology, 8701 Watertown Plank Road, Milwaukee, WI 53226, United States of America. Electronic address:

Purpose: MRI is currently the gold standard imaging modality in the diagnosis of lumbar spine discitis/osteomyelitis. However, even with supportive clinical and laboratory data, the accuracy of MRI remains limited by several degenerative and inflammatory mimics, such that it continues to represent a challenge for radiologists. This study reports a new quantitative imaging marker of lumbar paraspinal soft tissue edema which shows significant accuracy for spondylodiscitis. Read More

View Article and Full-Text PDF

Percutaneous Endoscopic Surgery Alone to Treat Severe Infectious Spondylodiscitis in the Thoracolumbar Spine: A Reparative Mechanism of Spontaneous Spinal Arthrodesis.

Pain Physician 2022 03;25(2):E299-E308

Department of Orthopaedic Surgery, China Medical University Hospital, China Medical University, Taiwan (R.O.C.); Spine Center, China Medical University Hospital, China Medical University, Taiwan (R.O.C.); Department of Sport Medicine, College of Health Care, China Medical University, Taiwan (R.O.C.).

Background: Infective spondylodiscitis has been treated solely with antibiotics based on the pathogen identified. Surgical intervention was used in cases of unidentified pathogens, failed antibiotic treatment, neurological deficit, or instability. The standard surgical procedure was debridement and interbody fusion with a bone graft through the anterior approach, followed by posterior instrumentation. Read More

View Article and Full-Text PDF

spondylodiscitis and epidural abscess successfully treated with unilateral biportal endoscopic discectomy and debridement: a rare case report.

J Int Med Res 2022 Mar;50(3):3000605221085405

Department of Orthopaedic Surgery, Far Eastern Memorial Hospital, New Taipei City.

Spinal epidural abscess (SEA) is a rare but severe infection with potentially devastating consequences. Epidural abscesses caused by serogroup C2 are even rarer and tend to be more invasive with multidrug resistance. Early diagnosis, effective use of antibiotics and surgical intervention are the mainstay strategies for managing SEA, especially for more virulent and multidrug-resistant infections. Read More

View Article and Full-Text PDF

Endoscopic Approach at Two Non-Sequential Levels in Lumbar Discitis.

Cureus 2022 Feb 12;14(2):e22158. Epub 2022 Feb 12.

Neurosurgery, Hospital Naval Marcilio Dias, Rio de Janeiro, BRA.

We report a case of spondylodiscitis in two non-sequential segments of the lumbar spine that was unresponsive to antibiotic treatment instituted and guided by results of blood and urine cultures. A 70-year-old female was admitted to our hospital with complaints of adynamia, low fever, and severe lower back pain that caused difficulty in mobilizing the lower limbs. Spinal tomography and magnetic resonance imaging (MRI) of the lumbar spine suggested L2L3 and L5S1 spondylodiscitis. Read More

View Article and Full-Text PDF
February 2022

Antibiotic-loaded calcium sulfate beads in spinal surgery for patients with spondylodiscitis: a clinical retrospective study.

BMC Musculoskelet Disord 2022 Mar 19;23(1):270. Epub 2022 Mar 19.

Department of Orthopedics, Yantai Affiliated Hospital of Binzhou Medical University, 717 Jinbu Street, Muping District, Yantai, 264000, Shandong Province, People's Republic of China.

Background: Various surgical techniques for treating spondylodiscitis have been proposed, but the optimal surgical treatment remains controversial. In this study, we propose a new procedure that is implanting antibiotic-loaded calcium sulfate (CS) beads into the disc after debridement using the Quadrant channel combined with percutaneous fixation through a single-stage posterolateral approach for the treatment of spondylodiscitis. Thus, the purpose of this study is to assess the safety and efficacy of this procedure. Read More

View Article and Full-Text PDF

Georg schmorl prize of the German spine society (DWG) 2021: Spinal Instability Spondylodiscitis Score (SISS)-a novel classification system for spinal instability in spontaneous spondylodiscitis.

Eur Spine J 2022 May 7;31(5):1099-1106. Epub 2022 Mar 7.

Centrum Für Muskuloskeletale Chirurgie, Charité - Universitätsmedizin Berlin, Charitéplatz 1, 10117, Berlin, Germany.

Purpose: Even though spinal infections are associated with high mortality and morbidity, their therapy remains challenging due to a lack of established classification systems and widely accepted guidelines for surgical treatment. This study's aim therefore was to propose a comprehensive classification system for spinal instability based on the Spinal Instability Neoplastic Score (SINS) aiding spine surgeons in choosing optimal treatment for spontaneous spondylodiscitis.

Methods: Patients who were treated for spontaneous spondylodiscitis and received computed tomography (CT) imaging were included retrospectively. Read More

View Article and Full-Text PDF

Using Probability Estimates to Evaluate a Patient With Weakness.

Cureus 2022 Jan 31;14(1):e21775. Epub 2022 Jan 31.

Hospital Medicine, Northwestern University Feinberg School of Medicine, Chicago, USA.

In this case report, we review how probabilistic reasoning can be implemented in retrospect to refine the diagnostic process. A 67-year-old female with a history of polymyalgia rheumatica (PMR) and a recent dental procedure presented with weakness, falls, and chills ongoing for two weeks. She reported pain in her shoulders and lower back. Read More

View Article and Full-Text PDF
January 2022

Culture Yield in the Diagnosis of Native Vertebral Osteomyelitis: A Single Tertiary Center Retrospective Case Series With Literature Review.

Open Forum Infect Dis 2022 Mar 7;9(3):ofac026. Epub 2022 Feb 7.

Division of Infectious Diseases, Department of Internal Medicine, University of Kansas Medical Center, Kansas City, Kansas, USA.

Background: Vertebral osteomyelitis is a serious condition that requires prompt diagnosis to avoid delays in proper management. There is no well-defined gold standard for diagnosis. We describe the current diagnostic approach at our institution, with a focus on the yield of image-guided vertebral biopsy. Read More

View Article and Full-Text PDF

Risk factors for surgical intervention in patients with primary spinal infection on initial presentation.

J Neurosurg Spine 2022 Feb 4:1-9. Epub 2022 Feb 4.

1Department of Neurosurgery, Johns Hopkins Hospital, Baltimore, Maryland.

Objective: Treatment of primary spinal infection includes medical management with or without surgical intervention. The objective of this study was to identify risk factors for the eventual need for surgery in patients with primary spinal infection on initial presentation.

Methods: From January 2010 to July 2019, 275 patients presented with primary spinal infection. Read More

View Article and Full-Text PDF
February 2022

[Surgical Treatment of Cervical Spondylodiscitis].

Acta Chir Orthop Traumatol Cech 2021 ;88(6):442-449

Ortopedická klinika 1. lékařské fakulty Univerzity Karlovy a Institutu postgraduálního vzdělávání ve zdravotnictví, Fakultní nemocnice Na Bulovce, Praha.

PURPOSE OF THE STUDY The purpose of the retrospective study is to analyse a group of patients surgically treated for cervical spondylodiscitis. The first hypothesis states that the removal of infected intervertebral disc without its anterior column reconstruction in the acute phase of infection results in worse clinical and radiological evaluation of the patient. The second hypothesis defines that the use of titanium implant in anterior column reconstruction in the chronic phase of infection increases the risk of recurrent infection. Read More

View Article and Full-Text PDF
January 2022

A Case of Spinal Infectious Osteomyelitis Versus Gout: Advanced Imaging with Dual Energy CT.

Yale J Biol Med 2021 12 29;94(4):599-602. Epub 2021 Dec 29.

Department of Radiology and Biomedical Imaging, Neuroradiology, Yale Program for Innovation in Imaging Informatics, Yale University School of Medicine, New Haven, CT, USA.

A 67-year-old male presented to the hospital for lower back pain and left lower extremity radiculopathy. Although the patient was afebrile and white blood cell count was normal, MRI was concerning for discitis/osteomyelitis at L4-L5. Subsequently, the patient developed a right knee joint effusion and underwent an arthrocentesis that was notable for the presence of urate crystals. Read More

View Article and Full-Text PDF
December 2021

BMP use in the surgical treatment of pyogenic spondylodiscitis: Is it safe?

J Clin Neurosci 2022 Jan 9;95:94-98. Epub 2021 Dec 9.

Department of Orthopaedic Surgery, Waikato Hospital, Pembroke Street, Hamilton NZ3240, New Zealand.

Objective: Use of BMP in the setting of infection remains controversial. We examined the safety and effectiveness of BMP in the surgical treatment of pyogenic spondylodiscitis and compared patients who have been treated with or without BMP during surgery.

Methods: 57 patients who have undergone surgery for pyogenic spondylodiscitis after presenting to a tertiary Spine referral institution between 2011 and 2020 were included. Read More

View Article and Full-Text PDF
January 2022

Outcome of one-stage percutaneous endoscopic debridement and lavage combined with percutaneous pedicle screw fixation for lumbar pyogenic spondylodiscitis.

J Orthop Surg (Hong Kong) 2021 Sep-Dec;29(3):23094990211065579

Department of Orthopaedics, Guang Dong Province Hospital of Traditional Chinese Medicine Zhuhai Branch, Zhuhai, Guangdong, China.

Background: This study assessed the therapeutic effect of one-stage percutaneous endoscopic debridement and lavage (PEDL) combined with percutaneous pedicle screw fixation (PPSF) in the treatment of lumbar pyogenic spondylodiscitis.

Methods: From March 2017 to October 2019, 51 patients diagnosed with pyogenic spondylodiscitis underwent PPSF followed by PEDL in our department. Biopsy specimens were examined for microorganisms and evaluated histopathologically. Read More

View Article and Full-Text PDF

Adult-onset Acute Calcific Discitis.

J Rheumatol 2022 Mar 1;49(3):330-331. Epub 2021 Dec 1.

Rheumatology Unit, Internal Medicine Department, Geneva University Hospitals, Geneva, Switzerland.

View Article and Full-Text PDF

A disease that is difficult to diagnose and treat: evaluation of 343 spondylodiscitis cases.

J Int Med Res 2021 Nov;49(11):3000605211060197

University of Health Sciences, Umraniye Training and Research Hospital, Department of Infectious Diseases and Clinical Microbiology, Istanbul, Turkey.

Objective: Spondylodiscitis is an important clinical a problem requiring serious approaches. In this study, we sought to raise awareness by examining the epidemiology and laboratory, clinical, and radiological findings of spondylodiscitis, which sometimes has a delayed diagnosis and which can be difficult to treat.

Methods: In total, 343 patients with spondylodiscitis were included in the study. Read More

View Article and Full-Text PDF
November 2021

[Common infectious challenges of the thoracic and lumbar spine : Spondylodiscitis and postoperative wound infection].

Unfallchirurg 2022 Jan 30;125(1):33-40. Epub 2021 Nov 30.

Klinik für Unfallchirurgie, Medizinische Hochschule Hannover, Carl-Neuberg-Str. 1, 30625, Hannover, Deutschland.

Spondylodiscitis and postoperative wound infections are the most frequent infectious diseases of the thoracic and lumbar spine. Every spinal surgeon will come into contact with such patients during his or her career. Knowledge particularly of the diagnostics, conservative and surgical treatment as well as microbiological considerations of antibiotic treatment are therefore of particular importance and are explained in this article. Read More

View Article and Full-Text PDF
January 2022