Tyrrell P N, Cassar-Pullicino V N, McCall I W
Department of Diagnostic Imaging and the Institute of Orthopaedics, Robert Jones and Agnes Hunt Orthopaedic Hospital, Oswestry, Shropshire SY10 7AG, England.
Eur Radiol. 1999;9(6):1066-77. doi: 10.1007/s003300050793.
Spinal infection is a significant cause of morbidity. Despite advances in antibiotic treatment regimens, the incidence is not decreasing due at least in part to an increase in 'at-risk' populations, namely the elderly and the immunocompromised. Prompt diagnosis is greatly facilitated by early and appropriate imaging techniques together with microbiological assessment following culture from blood, needle aspirate and biopsy material. This article gives an overview of imaging of spinal infection with an emphasis on MR imaging, which has greatly contributed to early diagnosis, thus allowing implementation of timely appropriate treatment.
脊柱感染是发病的一个重要原因。尽管抗生素治疗方案有所进展，但发病率并未下降，至少部分原因是“高危”人群（即老年人和免疫功能低下者）数量增加。早期和适当的成像技术以及对血液、穿刺抽吸物和活检材料进行培养后的微生物学评估，极大地促进了及时诊断。本文概述了脊柱感染的影像学检查，重点是磁共振成像（MR成像），它对早期诊断有很大帮助，从而能够及时实施适当的治疗。
