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青少年脊椎盘炎:磁共振成像的价值:两例报告

Juvenile spondylodiscitis: the value of magnetic resonance imaging: a report of two cases.

作者信息

Plasschaert Herbert, De Geeter Kristof, Fabry Guy

机构信息

Department of Orthopaedic Surgery, UZ Pellenberg, Lubbeek (Pellenberg), Belgium.

出版信息

Acta Orthop Belg. 2004 Dec;70(6):627-31.

Abstract

Two boys presenting with reluctance to sit straight and stand were diagnosed with spondylodiscitis of the lumbar spine. After confirmation of the diagnosis on plain radiographs, computed tomography and magnetic resonance imaging, they were successfully treated with antibiotics and in one case a lumbar orthosis. The use of magnetic resonance imaging is discussed and compared to the other radiological techniques. Magnetic resonance imaging seems to be the most sensitive and specific imaging technique used in the diagnostic process of spondylodiscitis. Computed tomography and technetium bone scan both play a specific part in the process of diagnosis and follow-up.

摘要

两名因不愿挺直坐立和站立前来就诊的男孩被诊断为腰椎椎体骨髓炎。在通过X线平片、计算机断层扫描(CT)和磁共振成像(MRI)确诊后,他们接受了抗生素治疗,其中一例还使用了腰部矫形器,治疗成功。本文讨论了磁共振成像的应用,并与其他放射学技术进行了比较。磁共振成像似乎是椎体骨髓炎诊断过程中最敏感和特异的成像技术。计算机断层扫描和骨扫描在诊断和随访过程中都发挥了特定作用。

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