Gutenberger K H, Simma B, Schneeberger J
Universitäts-Kinderklinik Innsbruck.
Padiatr Padol. 1988;23(4):321-9.
In the case of an 11-years old boy, diagnosis "Juvenile Spondylodiscitis" finally was established by MRI. X-Ray investigation was negative and bone scintigraphy was interpreted negative or not conclusive. In recently published studies using MRI for diagnosis of spondylodiscitis in children younger than six years, a typically MCR signal of involved disc and vertebral body was found at a stage of investigation when bone scintigraphy had already also been conclusive. In our case, the patient was a little bit older and may be because of this, scintigraphy was negative. The different vertebral blood perfusion situation of the older child seems to disadvantage scintigraphy to MRI in diagnosis of spondylodiscitis.
对于一名11岁男孩，最终通过磁共振成像（MRI）确诊为“青少年脊椎椎间盘炎”。X线检查结果为阴性，骨闪烁扫描结果被解读为阴性或不确定。在最近发表的使用MRI诊断6岁以下儿童脊椎椎间盘炎的研究中，在骨闪烁扫描已得出结论的检查阶段，发现受累椎间盘和椎体有典型的磁共振信号。在我们的病例中，患者年龄稍大一些，可能正因如此，闪烁扫描结果为阴性。年龄较大儿童不同的椎体血液灌注情况似乎使闪烁扫描在脊椎椎间盘炎诊断中相对于MRI处于劣势。
