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Perivertebral Space Infection
C. Douglas Phillips, MD, FACR
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Diagnostic Checklist

            TERMINOLOGY

            • Abbreviations

              • Perivertebral space (PVS) infection
            • Synonyms

              • PVS phlegmon, PVS abscess
            • Definitions

              • Deep neck infection centered at prevertebral muscles, disc space, vertebral body (VB)
                • Most often due to cervical spondylodiscitis
              • Phlegmon = inflammation from diffuse tissue infection
              • Abscess = marginated collection of pus

            IMAGING

            • General Features

              • Radiographic Findings

                • CT Findings

                  • MR Findings

                    • Nuclear Medicine Findings

                      • Imaging Recommendations

                        DIFFERENTIAL DIAGNOSIS

                          PATHOLOGY

                          • General Features

                            CLINICAL ISSUES

                            • Presentation

                              • Demographics

                                • Natural History & Prognosis

                                  • Treatment

                                    DIAGNOSTIC CHECKLIST

                                    • Image Interpretation Pearls

                                      • Reporting Tips

                                        Selected References

                                        1. Mills MK et al: Imaging of the perivertebral space. Radiol Clin North Am. 53(1):163-80, 2015
                                        2. Gonzalez-Beicos A et al: Imaging of acute head and neck infections. Radiol Clin North Am. 50(1):73-83, 2012
                                        3. Rana RS et al: Head and neck infection and inflammation. Radiol Clin North Am. 49(1):165-82, 2011
                                        4. Holmgaard R et al: Cervical spondylodiscitis--a rare complication of palatopharyngeal flap surgery. Cleft Palate Craniofac J. 45(6):674-6, 2008
                                        5. Karadimas EJ et al: Spondylodiscitis. A retrospective study of 163 patients. Acta Orthop. 79(5):650-9, 2008
                                        6. Ro EY et al: Cervical spine osteomyelitis presenting as a pharyngeal mass. Arch Otolaryngol Head Neck Surg. 134(12):1334-7, 2008
                                        7. Curry JM et al: Cervical discitis and epidural abscess after tonsillectomy. Laryngoscope. 117(12):2093-6, 2007
                                        8. Acosta FL Jr et al: Diagnosis and management of adult pyogenic osteomyelitis of the cervical spine. Neurosurg Focus. 17(6):E2, 2004
                                        9. Ledermann HP et al: MR imaging findings in spinal infections: rules or myths? Radiology. 228(2):506-14, 2003
                                        10. Longo M et al: Contrast-enhanced MR imaging with fat suppression in adult-onset septic spondylodiscitis. Eur Radiol. 13(3):626-37, 2003
                                        11. Stabler A et al: Imaging of spinal infection. Radiol Clin North Am. 39(1):115-35, 2001
                                        12. Niu CC et al: Destructive spondyloarthropathy mimicking spondylitis in long-term hemodialysis patients. Arch Orthop Trauma Surg. 120(10):594-7, 2000
                                        13. Dagirmanjian A et al: MR imaging of vertebral osteomyelitis revisited. AJR Am J Roentgenol. 167(6):1539-43, 1996
                                        14. Wurtz R et al: Cervical tuberculous vertebral osteomyelitis: case report and discussion of the literature. Clin Infect Dis. 16(6):806-8, 1993
                                        Related Anatomy
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                                        Related Differential Diagnoses
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                                        References
                                        Tables

                                        Tables

                                        KEY FACTS

                                        • Terminology

                                          • Imaging

                                            • Top Differential Diagnoses

                                              • Pathology

                                                • Diagnostic Checklist

                                                  TERMINOLOGY

                                                  • Abbreviations

                                                    • Perivertebral space (PVS) infection
                                                  • Synonyms

                                                    • PVS phlegmon, PVS abscess
                                                  • Definitions

                                                    • Deep neck infection centered at prevertebral muscles, disc space, vertebral body (VB)
                                                      • Most often due to cervical spondylodiscitis
                                                    • Phlegmon = inflammation from diffuse tissue infection
                                                    • Abscess = marginated collection of pus

                                                  IMAGING

                                                  • General Features

                                                    • Radiographic Findings

                                                      • CT Findings

                                                        • MR Findings

                                                          • Nuclear Medicine Findings

                                                            • Imaging Recommendations

                                                              DIFFERENTIAL DIAGNOSIS

                                                                PATHOLOGY

                                                                • General Features

                                                                  CLINICAL ISSUES

                                                                  • Presentation

                                                                    • Demographics

                                                                      • Natural History & Prognosis

                                                                        • Treatment

                                                                          DIAGNOSTIC CHECKLIST

                                                                          • Image Interpretation Pearls

                                                                            • Reporting Tips

                                                                              Selected References

                                                                              1. Mills MK et al: Imaging of the perivertebral space. Radiol Clin North Am. 53(1):163-80, 2015
                                                                              2. Gonzalez-Beicos A et al: Imaging of acute head and neck infections. Radiol Clin North Am. 50(1):73-83, 2012
                                                                              3. Rana RS et al: Head and neck infection and inflammation. Radiol Clin North Am. 49(1):165-82, 2011
                                                                              4. Holmgaard R et al: Cervical spondylodiscitis--a rare complication of palatopharyngeal flap surgery. Cleft Palate Craniofac J. 45(6):674-6, 2008
                                                                              5. Karadimas EJ et al: Spondylodiscitis. A retrospective study of 163 patients. Acta Orthop. 79(5):650-9, 2008
                                                                              6. Ro EY et al: Cervical spine osteomyelitis presenting as a pharyngeal mass. Arch Otolaryngol Head Neck Surg. 134(12):1334-7, 2008
                                                                              7. Curry JM et al: Cervical discitis and epidural abscess after tonsillectomy. Laryngoscope. 117(12):2093-6, 2007
                                                                              8. Acosta FL Jr et al: Diagnosis and management of adult pyogenic osteomyelitis of the cervical spine. Neurosurg Focus. 17(6):E2, 2004
                                                                              9. Ledermann HP et al: MR imaging findings in spinal infections: rules or myths? Radiology. 228(2):506-14, 2003
                                                                              10. Longo M et al: Contrast-enhanced MR imaging with fat suppression in adult-onset septic spondylodiscitis. Eur Radiol. 13(3):626-37, 2003
                                                                              11. Stabler A et al: Imaging of spinal infection. Radiol Clin North Am. 39(1):115-35, 2001
                                                                              12. Niu CC et al: Destructive spondyloarthropathy mimicking spondylitis in long-term hemodialysis patients. Arch Orthop Trauma Surg. 120(10):594-7, 2000
                                                                              13. Dagirmanjian A et al: MR imaging of vertebral osteomyelitis revisited. AJR Am J Roentgenol. 167(6):1539-43, 1996
                                                                              14. Wurtz R et al: Cervical tuberculous vertebral osteomyelitis: case report and discussion of the literature. Clin Infect Dis. 16(6):806-8, 1993