Guyer R D, Collier R, Stith W J, Ohnmeiss D D, Hochschuler S H, Rashbaum R F, Regan J J
Texas Back Institute Research Foundation, Plano.
Spine (Phila Pa 1976). 1988 Dec;13(12):1352-4. doi: 10.1097/00007632-198812000-00004.
A series of nine patients with post-discography discitis were evaluated to help delineate the clinical course. The most consistent sign was the marked exacerbation of neck or back pain. This then was followed by an elevated sedimentation rate at an average of 20 days, followed by a positive bone scan at an average of 33 days. Of note is that seven patients initially had negative bone scans at an average of 18 days. Five out of nine patients had changes on plain roentgenograms between 14 and 51 days after discography. Magnetic resonance imaging was performed in six patients; two of these patients were scanned twice. Three scans were negative and five were positive (2 patients initially had negative scans that later became positive). The course of lumbar discitis ranged from 8 to 11 weeks, and cervical discitis from 6 to 7 weeks, with the latter usually resulting in spontaneous fusion.
对一系列9例椎间盘造影术后椎间盘炎患者进行了评估，以帮助描绘其临床病程。最一致的体征是颈部或背部疼痛明显加重。随后平均在20天时血沉升高，接着平均在33天时骨扫描呈阳性。值得注意的是，7例患者最初平均在18天时骨扫描为阴性。9例患者中有5例在椎间盘造影后14至51天之间的X线平片上出现了变化。对6例患者进行了磁共振成像检查；其中2例患者进行了两次扫描。3次扫描结果为阴性，5次为阳性（2例患者最初扫描结果为阴性，后来转为阳性）。腰椎间盘炎的病程为8至11周，颈椎间盘炎为6至7周，后者通常会导致自发融合。
