SPONDYLODISCITIS DIAGNOSTICS IN NOWADAYS: BASIC CT AND MRI SIGNS
https://doi.org/10.22328/2079-5343-2019-10-1-39-47
Abstract
For many reasons spondylodiscitis (SDC) is a complicated pathology. It is caused by difficulty in early diagnostics, the need for surgical treatment (including repeated interventions), long term and high cost of antibiotic therapy. Objective. The goal is to identify and describe the main CT and MRI symptoms of SDC, to assess their frequency and specificity. The next aim is to note the peculiarities of the radiologist’s practice with such patients. Materials and methods. We studied the data of 25 patients with proved SDC, and we analyzed CT and MRI symptoms (both common and rare), and the role of contrast enhancement (СE) in both methods and important clinical and laboratory aspects. Results. The infiltration of vertebral bodies and intervertebral discs were the most frequent SDC signs, abscesses also were very common. The most significant type of abscess was epidural which led to the formation of vertebral canal stenosis and to neurological deficit. The important methodological aspects of the MRI study were noted to improve its quality. Conclusion. We recommend performing both CT and MRI, if possible, for all patients with SDC because of the different diagnostic tasks that are important for clinicians.CE significantly increases the MRI informativity.
About the Authors
A. S. Vinokurov
Demikhov City Clinical hospital
Russian Federation
Russian Federation
O. I. Belenkaya
Demikhov City Clinical hospital;
Pirogov Russian National Research Medical University
Russian Federation
Russian Federation
A. L. Yudin
Pirogov Russian National Research Medical University
Russian Federation
Russian Federation
A. V. Kim
Demikhov City Clinical hospital
Russian Federation
Russian Federation
References
1. Хафизова И.Ф., Попова Н.А., Панюхов А.Г., Гумеров Ф.Р. Спондилодисцит: ранняя диагностика и тактика ведения // Казанский медицинский журнал. 2014. Т. 97, № 6. С. 988– 993. DOI: 10.17750/KMJ2016–988. [Hafizova I.F., Popova N.A., Panyuhov A.G., Gumerov F.R. Spondilodiscit: rannyaya diagnostika i taktika vedeniya. Kazanskij medicinskij zhurnal, 2014, Vol. 97, No. 6, рр. 988–993. (In Russ.)].
2. Sobottke R., Seifert H., Fätkenheuer G. et al. Current diagnosis and treatment of spondylodiscitis // Dtsch Arztebl. Int. 2008. Vol. 105, No 10. P. 181–187. DOI: 10.3238/arztebl.2008.0181.
3. Li T., Liu T., Jiang Z. et al. Diagnosis pyogenic, brucella and tuberculosis spondylitis using histopathology and MRI: A retrospective study // Experemental and therapeutic medicine. 2016. Vol. 12. P. 2069–2077. DOI: 10.3892/etm.2016.3602.
4. Ramadani N., Dedushi K., Kabashi S., Mucaj S. Radiologic diagnosis of spondylodiscitis, role of magnetic resonance // ACTA INFORM MED. 2017. Vol. 25, No 1. P. 54–57. DOI: 10.5455/aim.2017.25.54-57.
5. Ратобыльский Г.В., Ховрин В.В., Камалов Ю.Р. и др. Клинико-лучевая диагностика туберкулёза позвоночника на современном этапе // Диагностическая и интервенционная радиология. 2012. Т. 6, № 1. С. 19–27. [Ratobyl’skij G.V., Hovrin V.V., Kamalov Yu.R. et al. Kliniko-luchevaya diagnostika tuberkulyoza pozvonochnika na sovremennom ehtape. Diagnosticheskaya i intervencionnaya radiologiya, 2012, Vol. 6, No. 1, рр. 19–27. (In Russ.)].
6. Moritan T., Kim J., Capizzano A.A. et al. Pyogenic and non-pyogenic spinal infections: emphasis on diffusion-weighted imaging for the detection of abscesses and pus collection // Brit. J. Radiol. 2014. Vol. 87. 20140011. DOI: 10.1259/bjr.20140011.
7. Баулин И.А., Советова Н.А., Гаврилов П.В. и др. Туберкулезный спондилит. Принципы лучевой диагностики // Медицинский альянс. 2017. № 2. С. 22–31. [Baulin I.A., Sovetova N.A., Gavrilov P.V. et al. Tuberkulyoznyj spondilit. Principy luchevoj diagnostiki. Medicinskij al’yans, 2017, No. 2, рр. 22–31 (In Russ.)].
8. Se-Jin Jeong, Seung-Won Choi, Jin-Young Youm et al. Microbiology and epidemiology of infectious spinal disease // J. Korean Neurosurg. Soc. 2014. Vol. 56, No. 1. P. 21–27. DOI: 10.3340/jkns.2014.56.1.21.
9. Aiyer S.N., Shetty A.P., Kanna R. et al. Enterococcus faecalis causing delayed spondylodiscitis in a case with retained intraspinal bullet // J. Spine Surg. 2016. Vol. 2, No. 4. P. 328–333. DOI: 10.21037/jss.2016.12.12.
10. Aubin G.G., Boutoille D., Bourcier R. et al. Unusual case of spondylodiscitis due to Listeria monocytogenes // J. Bone Joint Infect. 2016. Vol. 1. P. 7–9. DOI: 10.7150/jbji.13863.
11. Gerogianni I., Boutlas S., Karachalios T. et al. A M. avium complex spondylodiscitis in a middle-aged woman with diabetes // Respiratory Medicine Case Reports. 2017. Vol. 21. P. 71–73. DOI: 10.1016/j.rmcr.2017.03.020.
12. Anu J., Weinshenker B.G. An Approach to the Diagnosis of Acute Transverse Myelitis Seminars in Neurology // Thieme Medical Publishers. 2008. Vol. 28 (1). P. 105–120. DOI: 10.1055/s-2007- 1019132.
13. Sarathchand V., Sambasivarao K., Anuradha B. et al. Role of MRI in the Evaluation of Compressive Myelopathy // OSR Journal of Dental and Medical Sciences. 2016. Vol. 15 (4). P. 21–26. DOI: 10.9790/0853-1504132126.
14. Мушкин А.Ю., Вишневский А.А. Клинические рекомендации по диагностике инфекционных спондилитов (проект для обсуждения) // Медицинский альянс. 2018. № 3. C. 65–74. [Mushkin A.Yu., Vishnevskij A.A. Klinicheskie rekomendacii po diagnostike infekcionnyh spondilitov (proekt dlya obsuzhdeniya). Medicinskij al’yans, 2018, No. 3, рр. 65–74. (In Russ.)].
15. Raush V.H., Bannas P., Shoen G. et al. Diagnostic Yield of multidetector computed tomography in patients with acute spondylodiscitis // Fortschr Rontgenstr. 2017. Vol. 189. P. 339–346. DOI: 10.1055/s-0043-101864.
Review
For citations:
Vinokurov A.S., Belenkaya O.I., Yudin A.L., Kim A.V. SPONDYLODISCITIS DIAGNOSTICS IN NOWADAYS: BASIC CT AND MRI SIGNS. Diagnostic radiology and radiotherapy. 2019;(1):39-47. (In Russ.) https://doi.org/10.22328/2079-5343-2019-10-1-39-47
Views:
10143
Email this article 