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Year 2016, Volume: 2 Issue: 2, 117 - 121, 01.04.2016

Abstract

References

  • 1. Bayraktutan U, Kantarci M, Yuce I, Sade R, Ogul H, Karaca L. Endometrial cancer metastasis mimicking spondylodiscitis and psoas abscess. Spine J 2016;16(1):e9–e10.
  • 2. Alexiou E, Georgoulias P, Valotassiou V, Georgiou E, Fezoulidis I, Vlychou M. Multifocal septic osteomyelitis mimicking skeletal metastatic disease in a patient with prostate cancer. Hell J Nucl Med 2015;18(1):77–78.
  • 3. Kawamura N, Okumi M, Hirai T, et al. A case report of pyogenic spondylodiscitis mimicking spinal metastasis of urothelial carcinoma. Hinyokika Kiyo 2010;56(11):635–7.
  • 4. Guillevin R, Vallee JN, Lafitte F, Menuel C, Duverneuil NM, Chiras J. Spine metastasis imaging: review of the literature. J Neuroradiol 2007;34:311–21.
  • 5. Bruyn GA, Tondu PR. Back pain and condensation of the eighth thoracic vertebra: is it always a metastatic disease? Clin Exp Rheumatol 2006;24:89–92.
  • 6. Dahnert W. Radiology Review Manual. 6th ed. Philadelphia, Lippincott Williams and Wilkins 2007:120, 217, 219, 1084, 1087–9.
  • 7. Ritchie DA. Commentary on the MRI appearances of early osteomyelitis and discitis. Clin Radiol 2010;65:982–3.
  • 8. Hadjipavlou AG, Mader JT, Necessary JT, Muffoletto AJ. Hematogenous pyogenic spinal infections and their surgical management. Spine 2000;25:1668–79.
  • 9. Ozuna RM, Delamarter RB. Pyogenic vertebral osteomyelitis and postsurgical disc space infections. Orthop Clin North 1996;27:87-94
  • 10. Jung NY, Jee WH, Ha KY, Park CK, Byun JY. Discrimination of tuberculous spondylitis from pyogenic spondylitis on MRI. AJR Am J Roentgenol 2004;182:1405–10.
  • 11. Turpin S, Lambert R. Role of scintigraphy in musculoskeletal and spinal infections. Radiol Clin North Am 2001;39:169–89.
  • 12. Rades D, Bremer M, Goehde S, Joergensen M, Karstens JH. Spondylodiscitis in patients with spinal cord compression: a possible pitfall in radiation oncology. Radiother Oncol 2001;59(3):307–9.
  • 13. Kakitsubata Y, Theodorou DJ, Theodorou SJ,Nabeshima K, Tamura S. Metastatic disease involving the discovertebral junction of the spine. Joint Bone Spine 2009;76:50–56.
  • 14. Lee CM, Lee S, Bae J. Contiguous spinal metastasis mimicking infectious spondylodiscitis. J Korean Soc Radiol 2015;73(6):408–12.
  • 15. Gasbarrini A, Boriani L, Salvadori C, et al. Biopsy for suspected spondylodiscitis. Eur Rev Med Pharmacol Sci 2012;16 Suppl 2:26–34.

The Role of Radiologic and Scintigraphic Imaging in Differentiating Thoracic Pyogenic Spondylodiscitis from Metastasis

Year 2016, Volume: 2 Issue: 2, 117 - 121, 01.04.2016

Abstract

Introduction: Physical examination, basic laboratory tests and plain radiographs can give important data in diagnosis of the patients presenting with complaints of back pain. However, advanced imaging tools may be necessary for further evaluation of complicated processes in geriatric patients. Case presentation: We presented plain radiography, magnetic resonance imaging MRI and bone scintigraphy BS findings of thoracic pyogenic spondylodiscitis in a 72-year-old male patient which resembles metastatic disease. Conclusion: Multimodal imaging, particularly MRI and BS can provide useful data in the initial diagnosis and follow-up of geriatric patients with a complicated vertebral pathology. Spondylodiscitis can mimic metastastatic disease.

References

  • 1. Bayraktutan U, Kantarci M, Yuce I, Sade R, Ogul H, Karaca L. Endometrial cancer metastasis mimicking spondylodiscitis and psoas abscess. Spine J 2016;16(1):e9–e10.
  • 2. Alexiou E, Georgoulias P, Valotassiou V, Georgiou E, Fezoulidis I, Vlychou M. Multifocal septic osteomyelitis mimicking skeletal metastatic disease in a patient with prostate cancer. Hell J Nucl Med 2015;18(1):77–78.
  • 3. Kawamura N, Okumi M, Hirai T, et al. A case report of pyogenic spondylodiscitis mimicking spinal metastasis of urothelial carcinoma. Hinyokika Kiyo 2010;56(11):635–7.
  • 4. Guillevin R, Vallee JN, Lafitte F, Menuel C, Duverneuil NM, Chiras J. Spine metastasis imaging: review of the literature. J Neuroradiol 2007;34:311–21.
  • 5. Bruyn GA, Tondu PR. Back pain and condensation of the eighth thoracic vertebra: is it always a metastatic disease? Clin Exp Rheumatol 2006;24:89–92.
  • 6. Dahnert W. Radiology Review Manual. 6th ed. Philadelphia, Lippincott Williams and Wilkins 2007:120, 217, 219, 1084, 1087–9.
  • 7. Ritchie DA. Commentary on the MRI appearances of early osteomyelitis and discitis. Clin Radiol 2010;65:982–3.
  • 8. Hadjipavlou AG, Mader JT, Necessary JT, Muffoletto AJ. Hematogenous pyogenic spinal infections and their surgical management. Spine 2000;25:1668–79.
  • 9. Ozuna RM, Delamarter RB. Pyogenic vertebral osteomyelitis and postsurgical disc space infections. Orthop Clin North 1996;27:87-94
  • 10. Jung NY, Jee WH, Ha KY, Park CK, Byun JY. Discrimination of tuberculous spondylitis from pyogenic spondylitis on MRI. AJR Am J Roentgenol 2004;182:1405–10.
  • 11. Turpin S, Lambert R. Role of scintigraphy in musculoskeletal and spinal infections. Radiol Clin North Am 2001;39:169–89.
  • 12. Rades D, Bremer M, Goehde S, Joergensen M, Karstens JH. Spondylodiscitis in patients with spinal cord compression: a possible pitfall in radiation oncology. Radiother Oncol 2001;59(3):307–9.
  • 13. Kakitsubata Y, Theodorou DJ, Theodorou SJ,Nabeshima K, Tamura S. Metastatic disease involving the discovertebral junction of the spine. Joint Bone Spine 2009;76:50–56.
  • 14. Lee CM, Lee S, Bae J. Contiguous spinal metastasis mimicking infectious spondylodiscitis. J Korean Soc Radiol 2015;73(6):408–12.
  • 15. Gasbarrini A, Boriani L, Salvadori C, et al. Biopsy for suspected spondylodiscitis. Eur Rev Med Pharmacol Sci 2012;16 Suppl 2:26–34.
There are 15 citations in total.

Details

Primary Language English
Journal Section Case Report
Authors

Sevin Ayaz

Salih Sinan Gultekin This is me

Alper Dilli This is me

Mehmet Akif Teber This is me

Publication Date April 1, 2016
Published in Issue Year 2016 Volume: 2 Issue: 2

Cite

Vancouver Ayaz S, Gultekin SS, Dilli A, Teber MA. The Role of Radiologic and Scintigraphic Imaging in Differentiating Thoracic Pyogenic Spondylodiscitis from Metastasis. ULUTAS MED J. 2016;2(2):117-21.