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Discitis/Osteomyelitis
Luke L. Linscott, MD
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            TERMINOLOGY

            • Synonyms

              • Pyogenic spondylodiscitis, discitis, vertebral osteomyelitis
            • Definitions

              • Bacterial suppurative infection of intervertebral disc & adjacent vertebrae

            IMAGING

            • General Features

              • Radiographic Findings

                • CT Findings

                  • MR Findings

                    • Nuclear Medicine Findings

                      • Imaging Recommendations

                        DIFFERENTIAL DIAGNOSIS

                          PATHOLOGY

                          • General Features

                            • Gross Pathologic & Surgical Features

                              • Microscopic Features

                                CLINICAL ISSUES

                                • Presentation

                                  • Demographics

                                    • Natural History & Prognosis

                                      • Treatment

                                        DIAGNOSTIC CHECKLIST

                                        • Image Interpretation Pearls

                                          Selected References

                                          1. Fucs PM et al: Spinal infections in children: a review. Int Orthop. 36(2):387-95, 2012
                                          2. Spencer SJ et al: Childhood discitis in a regional children's hospital. J Pediatr Orthop B. 21(3):264-8, 2012
                                          3. Treglia G et al: The role of nuclear medicine in the diagnosis of spondylodiscitis. Eur Rev Med Pharmacol Sci. 16 Suppl 2:20-5, 2012
                                          4. Chandrasenan J et al: Spondylodiscitis in children: a retrospective series. J Bone Joint Surg Br. 93(8):1122-5, 2011
                                          5. Dunbar JA et al: The MRI appearances of early vertebral osteomyelitis and discitis. Clin Radiol. 65(12):974-81, 2010
                                          6. de Lucas EM et al: CT-guided fine-needle aspiration in vertebral osteomyelitis: true usefulness of a common practice. Clin Rheumatol. 28(3):315-20, 2009
                                          7. Mylona E et al: Pyogenic vertebral osteomyelitis: a systematic review of clinical characteristics. Semin Arthritis Rheum. 39(1):10-7, 2009
                                          8. Karadimas EJ et al: Spondylodiscitis. A retrospective study of 163 patients. Acta Orthop. 79(5):650-9, 2008
                                          9. Kowalski TJ et al: Follow-up MR imaging in patients with pyogenic spine infections: lack of correlation with clinical features. AJNR Am J Neuroradiol. 28(4):693-9, 2007
                                          10. Ledermann HP et al: MR imaging findings in spinal infections: rules or myths? Radiology. 228(2):506-14, 2003
                                          11. Carragee EJ: The clinical use of magnetic resonance imaging in pyogenic vertebral osteomyelitis. Spine. 22(7):780-5, 1997
                                          12. Dagirmanjian A et al: MR imaging of vertebral osteomyelitis revisited. AJR Am J Roentgenol. 167(6):1539-43, 1996
                                          13. Thrush A et al: MR imaging of infectious spondylitis. AJNR Am J Neuroradiol. 11(6):1171-80, 1990
                                          14. Modic MT et al: Vertebral osteomyelitis: assessment using MR. Radiology. 157(1):157-66, 1985
                                          Related Anatomy
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                                          Related Differential Diagnoses
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                                          References
                                          Tables

                                          Tables

                                          KEY FACTS

                                          • Terminology

                                            • Imaging

                                              • Top Differential Diagnoses

                                                • Pathology

                                                  • Clinical Issues

                                                    TERMINOLOGY

                                                    • Synonyms

                                                      • Pyogenic spondylodiscitis, discitis, vertebral osteomyelitis
                                                    • Definitions

                                                      • Bacterial suppurative infection of intervertebral disc & adjacent vertebrae

                                                    IMAGING

                                                    • General Features

                                                      • Radiographic Findings

                                                        • CT Findings

                                                          • MR Findings

                                                            • Nuclear Medicine Findings

                                                              • Imaging Recommendations

                                                                DIFFERENTIAL DIAGNOSIS

                                                                  PATHOLOGY

                                                                  • General Features

                                                                    • Gross Pathologic & Surgical Features

                                                                      • Microscopic Features

                                                                        CLINICAL ISSUES

                                                                        • Presentation

                                                                          • Demographics

                                                                            • Natural History & Prognosis

                                                                              • Treatment

                                                                                DIAGNOSTIC CHECKLIST

                                                                                • Image Interpretation Pearls

                                                                                  Selected References

                                                                                  1. Fucs PM et al: Spinal infections in children: a review. Int Orthop. 36(2):387-95, 2012
                                                                                  2. Spencer SJ et al: Childhood discitis in a regional children's hospital. J Pediatr Orthop B. 21(3):264-8, 2012
                                                                                  3. Treglia G et al: The role of nuclear medicine in the diagnosis of spondylodiscitis. Eur Rev Med Pharmacol Sci. 16 Suppl 2:20-5, 2012
                                                                                  4. Chandrasenan J et al: Spondylodiscitis in children: a retrospective series. J Bone Joint Surg Br. 93(8):1122-5, 2011
                                                                                  5. Dunbar JA et al: The MRI appearances of early vertebral osteomyelitis and discitis. Clin Radiol. 65(12):974-81, 2010
                                                                                  6. de Lucas EM et al: CT-guided fine-needle aspiration in vertebral osteomyelitis: true usefulness of a common practice. Clin Rheumatol. 28(3):315-20, 2009
                                                                                  7. Mylona E et al: Pyogenic vertebral osteomyelitis: a systematic review of clinical characteristics. Semin Arthritis Rheum. 39(1):10-7, 2009
                                                                                  8. Karadimas EJ et al: Spondylodiscitis. A retrospective study of 163 patients. Acta Orthop. 79(5):650-9, 2008
                                                                                  9. Kowalski TJ et al: Follow-up MR imaging in patients with pyogenic spine infections: lack of correlation with clinical features. AJNR Am J Neuroradiol. 28(4):693-9, 2007
                                                                                  10. Ledermann HP et al: MR imaging findings in spinal infections: rules or myths? Radiology. 228(2):506-14, 2003
                                                                                  11. Carragee EJ: The clinical use of magnetic resonance imaging in pyogenic vertebral osteomyelitis. Spine. 22(7):780-5, 1997
                                                                                  12. Dagirmanjian A et al: MR imaging of vertebral osteomyelitis revisited. AJR Am J Roentgenol. 167(6):1539-43, 1996
                                                                                  13. Thrush A et al: MR imaging of infectious spondylitis. AJNR Am J Neuroradiol. 11(6):1171-80, 1990
                                                                                  14. Modic MT et al: Vertebral osteomyelitis: assessment using MR. Radiology. 157(1):157-66, 1985