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Infectious Spondylitis Mimicking Osteoporotic Vertebral Compression Fractures - Report of Two Cases -

  • Journal of Korean Society of Spine Surgery
  • Abbr : J Kor Spine Sur
  • 2014, 21(3), pp.123-128
  • Publisher : Korean Society Of Spine Surgery
  • Research Area : Medicine and Pharmacy > Orthopedic Surgery

Chang-Bae Kong 1 Chang, Bong-Soon ORD ID 2 Lee, Choon Ki ORD ID 2

1원자력병원 정형외과
2서울대학교

Accredited

ABSTRACT

Study Design: Case study of two cases. Objectives: The aim of our study is to describe the rare MR imaging patterns of infectious spondylitis. Summary of the Literature Review: It is generally accepted that the intravertebral cleft sign is not shown in cases of infection ormalignancy, and thus, its recognition can obviate unnecessary imaging or biopsy because of its benign significance. Materials and Methods: Two patients are presented who developed worsening back pain after a minor trauma. Preoperative MRimages of these patients showed intravertebral fluid and benign vertebral compression fractures. Anterior decompression and fusionwere done and the bacteria isolated from the intraoperative cultures were Listeria monocytogenes and Mycobacterium tuberculosis,respectively. Results: After 2 years of follow-up, the patients were free of pain, without signs of infection, and showed correct fusion. Conclusions: MR findings in infectious spondylitis may simulate the patterns of osteoporotic VCFs. Key Words: Infectious spondylitis, Vertebral compression fractures, MR findings, Intravertebral cleft sign, Hematological parameters

Citation status

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