Golimbu C, Firooznia H, Rafii M
AJR Am J Roentgenol. 1984 Jan;142(1):159-63. doi: 10.2214/ajr.142.1.159.
Computed tomography (CT) were performed in 17 adults with osteomyelitis of the spine. The dominant features were paravertebral soft-tissue swelling, abscess formation, and bone erosion. In two patients there were no findings indicative of osteomyelitis on conventional radiographs, but CT revealed paravertebral abscesses and bone lysis, helping to establish the diagnosis of osteomyelitis. CT was found helpful in the evaluation of the patients suspected of spinal osteomyelitis, chiefly because of its ability to detect early erosion of spongy vertebral bone, disk involvement, paravertebral soft-tissue swelling or abscess, and extension of the pathology into the spinal canal. Furthermore, CT facilitated closed-needle biopsy, helping to establish the pathologic diagnosis.
对17例成人脊柱骨髓炎患者进行了计算机断层扫描（CT）检查。主要表现为椎旁软组织肿胀、脓肿形成和骨质侵蚀。2例患者在传统X线片上未发现提示骨髓炎的表现，但CT显示椎旁脓肿和骨质溶解，有助于确立骨髓炎的诊断。发现CT有助于评估疑似脊柱骨髓炎的患者，主要是因为它能够检测到椎体松质骨的早期侵蚀、椎间盘受累、椎旁软组织肿胀或脓肿以及病变向椎管内的扩展。此外，CT有助于进行闭合针吸活检，有助于确立病理诊断。
