Infectious spondylitis, vertebral body (VB) osteomyelitis, discitis-osteomyelitis, spondylodiscitis
Definitions
VB osteomyelitis: infection beginning at endplate that spreads to disc
Discitis: infection of disc space, spread from adjacent VB infection
Septic arthritis (facets): infection of synovial joints of articular facets
Epidural abscess: abscess in epidural space; may be isolated or related to osteomyelitis/discitis
IMAGING
General Features
Radiographic Findings
CT Findings
MR Findings
Nuclear Medicine Findings
Imaging Recommendations
Image-Guided Biopsy
Pathogen-Specific Comments
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
Selected References
Hecquet S et al: Interest of follow-up radiological imaging in patients with pyogenic vertebral osteomyelitis. J Clin Med. 10(12), 2021
Nguyen ML et al: Clinicoradiographic predictors of percutaneous bone biopsy results among patients with suspected thoracolumbar spine infection. Skeletal Radiol. 50(9):1801-8, 2021
Seong I et al: Clinical and radiological features predicting intervertebral autofusion after successful antibiotic therapy in pyogenic vertebral osteomyelitis. Diagnostics (Basel). 11(8), 2021
Fragío Gil JJ et al: Vertebral osteomyelitis: clinical, microbiological and radiological characteristics of 116 patients. Med Clin (Barc). 155(8):335-9, 2020
Gupta A et al: Long-term outcome of pyogenic vertebral osteomyelitis: a cohort study of 260 patients. Open Forum Infect Dis. 1(3):ofu107, 2014
Mirochnik BD et al: Case 209: disseminated coccidioidal spondylodiskitis. Radiology. 272(3):914-8, 2014
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
Smida M et al: Septic arthritis of a lumbar facet joint case report and review of the literature. Acta Orthop Belg. 70(3):290-4, 2004
Ergan M et al: Septic arthritis of lumbar facet joints. A review of six cases. Rev Rhum Engl Ed. 64(6):386-95, 1997
Dagirmanjian A et al: MR imaging of vertebral osteomyelitis revisited. AJR Am J Roentgenol. 167(6):1539-43, 1996
Halpin DS et al: Septic arthritis of a lumbar facet joint. J Bone Joint Surg Br. 69(3):457-9, 1987
Related Anatomy
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References
Tables
Tables
KEY FACTS
Terminology
Imaging
Top Differential Diagnoses
Pathology
Clinical Issues
TERMINOLOGY
Synonyms
Infectious spondylitis, vertebral body (VB) osteomyelitis, discitis-osteomyelitis, spondylodiscitis
Definitions
VB osteomyelitis: infection beginning at endplate that spreads to disc
Discitis: infection of disc space, spread from adjacent VB infection
Septic arthritis (facets): infection of synovial joints of articular facets
Epidural abscess: abscess in epidural space; may be isolated or related to osteomyelitis/discitis
IMAGING
General Features
Radiographic Findings
CT Findings
MR Findings
Nuclear Medicine Findings
Imaging Recommendations
Image-Guided Biopsy
Pathogen-Specific Comments
DIFFERENTIAL DIAGNOSIS
PATHOLOGY
General Features
CLINICAL ISSUES
Presentation
Demographics
Natural History & Prognosis
Treatment
Selected References
Hecquet S et al: Interest of follow-up radiological imaging in patients with pyogenic vertebral osteomyelitis. J Clin Med. 10(12), 2021
Nguyen ML et al: Clinicoradiographic predictors of percutaneous bone biopsy results among patients with suspected thoracolumbar spine infection. Skeletal Radiol. 50(9):1801-8, 2021
Seong I et al: Clinical and radiological features predicting intervertebral autofusion after successful antibiotic therapy in pyogenic vertebral osteomyelitis. Diagnostics (Basel). 11(8), 2021
Fragío Gil JJ et al: Vertebral osteomyelitis: clinical, microbiological and radiological characteristics of 116 patients. Med Clin (Barc). 155(8):335-9, 2020
Gupta A et al: Long-term outcome of pyogenic vertebral osteomyelitis: a cohort study of 260 patients. Open Forum Infect Dis. 1(3):ofu107, 2014
Mirochnik BD et al: Case 209: disseminated coccidioidal spondylodiskitis. Radiology. 272(3):914-8, 2014
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
Smida M et al: Septic arthritis of a lumbar facet joint case report and review of the literature. Acta Orthop Belg. 70(3):290-4, 2004
Ergan M et al: Septic arthritis of lumbar facet joints. A review of six cases. Rev Rhum Engl Ed. 64(6):386-95, 1997
Dagirmanjian A et al: MR imaging of vertebral osteomyelitis revisited. AJR Am J Roentgenol. 167(6):1539-43, 1996
Halpin DS et al: Septic arthritis of a lumbar facet joint. J Bone Joint Surg Br. 69(3):457-9, 1987
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