Gallucci Prof Massimo, D'Orazio Federico
Neuroradiology Unit, S. Salvatore Hospital, University of L'Aquila, Via L. Natali, L'Aquila 67100, Italy.
Neuroradiology Unit, S. Salvatore Hospital, Via L. Natali, L'Aquila 67100, Italy.
Neuroimaging Clin N Am. 2015 May;25(2):281-94. doi: 10.1016/j.nic.2015.01.009.
Spinal infections are challenging to diagnose and represent a life-threatening medical condition. Diagnosis is often delayed because of nonspecific accompanying symptoms. The role of interventional neuroradiology in spinal infection is double: diagnostic and therapeutic, consisting substantially of 2 main procedures, represented by spine biopsies and positioning of percutaneous drainage, which represent a minimally invasive, faster and more cost-effective alternative to open surgery procedures. This article will focus on the available state-of-the-art techniques to perform discovertebral image-guided biopsies in case of suspected infections and on image-guided placement of percutaneous drainage to treat infectious collections of the spine and paravertebral structures.
脊柱感染的诊断颇具挑战性，是一种危及生命的病症。由于伴随症状不具特异性，诊断往往会延迟。介入神经放射学在脊柱感染中的作用是双重的：诊断和治疗，主要包括两个主要程序，即脊柱活检和经皮引流定位，这是一种微创手术，比开放手术更快且更具成本效益。本文将重点介绍在怀疑感染时进行经椎间隙影像引导活检的现有先进技术，以及影像引导下经皮引流治疗脊柱和椎旁结构感染性积液的技术。
