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PubMed1989

[Cervical spondylodiscitis. A rare complication of intubation].

The authors present two cases of cervical spondylodiscitis occurring following intubation. The most probably mechanism was direct contamination of the inter-vertebral disk through a lesion of the posterior pharyngeal wall, but other possible mechanisms for the spread of infection are discussed. This very rare complication should be borne in mind and routinely sought when there is persistence of cervical pain following intubation.

Aged↗
PubMed1989

[Is bacterial osteomyelitis of the spine spondylitis or spondylodiscitis?].

This is a retrospective study of 43 patients with pyogenic vertebral osteomyelitis. Results obtained with several diagnostic methods, including myelography and CT are described and the usefulness of the different methods is assessed. The frequency of occurrence of the pathogenic bacteria, the focal localization, and the interval between early symptoms and diagnosis are determined. Involvement of intervertebral disc and adjacent vertebrae indicates the development of spondylodiscitis. There are several reasons to characterize the vertebral osteomyelitis as spondylodiscitis too.

Bacterial Infections↗
PubMed1989

[Magnetic resonance in the study of spondylodiscitis].

Spondylodiscitis is an uncommon pathologic condition whose diagnosis can be difficult due to its aspecific clinical and radiological signs, especially in its early phase. Seventeen patients were examined in order to evaluate MR diagnostic capabilities. They had cervical (2 cases), thoracic (3 cases) and lumbosacral (12 cases) spondylodiscitis. All patients previously underwent conventional X-ray examination and CT; bone scintigraphy was performed in 9 cases. The final diagnosis was reached by needle aspiration (10 cases), by blood culture (2 cases), or according to clinical evolution (5 cases). MR was highly sensitive in identifying the disease, also in its early stages. Moreover, MR allowed the definition of phlogistic process extent and its relationship with intersomatic disk: signal alterations were limited to the vertebral bodies and to the disk in 3 cases; endocanalar spread of phlogistic process was observed in 8 cases; extravertebral soft tissues were involved in 1 patient; involvement of both canal and paravertebral soft tissue was found in 5 patients. Signal alterations in vertebral bodies and disks, together with the good topographic evaluation obtained with MR imaging, allowed a reliable diagnosis of spondyloscitis to be reached.

Adult↗
PubMed1988

[Backache in children and adolescents].

Although backpain during childhood is uncommon serious diseases feature high on the list of differential diseases. Often the correct diagnosis in the young is made late or missed in the first instance. During the adolescent period the incidence of backpain rises to include mechanical or osteochondritic conditions and the early problems of a degenerative back such as disc protrusion. It has to be stressed that infection and neoplasma although rare can be a cause of backache at any age. If after thorough investigation no abnormalities has been detected, one should keep in mind that serious mental problems can be the cause of backpain.

Adolescent↗