单节段椎体骨髓炎的早期诊断——磁共振成像表现及其特征

Early diagnosis of single segment vertebral osteomyelitis--MR pattern and its characteristics.

作者信息

Shih T T, Huang K M, Hou S M

机构信息

Department of Radiology, National Taiwan University, Medical College and Hospital, Taipei, Taiwan.

出版信息

Clin Imaging. 1999 May-Jun;23(3):159-67. doi: 10.1016/s0899-7071(99)00108-4.

DOI:10.1016/s0899-7071(99)00108-4

PMID:10506909

Abstract

Nine cases of single segment vertebral osteomyelitis were included based on the single level of vertebral body involvement according to the MR findings. They were 3 cases with tuberculous infection and 6 cases with pyogenic infection. The vertebral body involvement was presented as abnormal signal changes (100%) and heterogenous enhancement (77.7%). They usually caused the cortical disruption in its anterior aspect (100%). It goes along the upward subligamentous spread (100%) most often, then the upper disc involvement (66.6%) and downward subligamentous spread (55.5%). The lower disc involvement is least common (11.1%). By using these criteria, the single segment vertebral osteomyelitis could be earlier diagnosed.

摘要

根据磁共振成像（MR）结果，基于椎体受累的单一节段纳入了9例单节段椎体骨髓炎病例。其中结核感染3例，化脓性感染6例。椎体受累表现为异常信号改变（100%）和不均匀强化（77.7%）。它们通常导致椎体前缘皮质破坏（100%）。最常见的是沿向上的韧带下蔓延（100%），然后是上位椎间盘受累（66.6%）和向下的韧带下蔓延（55.5%）。下位椎间盘受累最不常见（11.1%）。通过使用这些标准，可以更早地诊断单节段椎体骨髓炎。