Mougnyan Cox1, Brian Curtis2, Manisha Patel3, Victor Babatunde4, Adam E Flanders5. 1. Department of Radiology, Hospital of the University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA, 19104, United States. Electronic address: mougnyan.cox@uphs.upenn.edu. 2. Department of Radiology, University of California San Diego, 408 Dickinson Street, San Diego, CA 92103, United States. 3. 660 1st Avenue, 2nd floor Radiology, Department of Radiology, New York University Hospital, New York, NY 10016, United States. 4. Department of Internal Medicine, Pennsylvania Hospital, 800 Spruce Street, Philadelphia, PA 19107, United States. 5. Department of Radiology, Thomas Jefferson University, 1087 Main Building, 132 South 10th Street, Philadelphia, PA 19107, United States.
Abstract
OBJECTIVE: Multi-sequence sagittal magnetic resonance imaging (MRI) of the entire spine is performed in patients with known single level spondylodiscitis. Our objective is to determine the frequency of multifocal infection. METHODS: After IRB approval, a retrospective five-year review of all patients with spondylodiscitis was performed. RESULTS: MRI identified 82 patients with single-level infection. All 82 had entire spine imaging performed within 72 h of admission, showing additional non-continuous sites of infection in 19 patients (23%). Remote levels of spondylodiscitis were present in 11 patients (13%). CONCLUSION: Multi-sequence sagittal MRI of the entire spine may be helpful in patients with known single-level spine infection.
OBJECTIVE: Multi-sequence sagittal magnetic resonance imaging (MRI) of the entire spine is performed in patients with known single level spondylodiscitis. Our objective is to determine the frequency of multifocal infection. METHODS: After IRB approval, a retrospective five-year review of all patients with spondylodiscitis was performed. RESULTS: MRI identified 82 patients with single-level infection. All 82 had entire spine imaging performed within 72 h of admission, showing additional non-continuous sites of infection in 19 patients (23%). Remote levels of spondylodiscitis were present in 11 patients (13%). CONCLUSION: Multi-sequence sagittal MRI of the entire spine may be helpful in patients with known single-level spine infection.
Authors: Jeanette Henkelmann; Timm Denecke; Philipp Pieroh; Stephanie Einhorn; Nicolas H von der Hoeh; Christoph-Eckhard Heyde; Anna Voelker Journal: BMC Musculoskelet Disord Date: 2021-01-14 Impact factor: 2.362