Juvenile spondylodiscitis : the value of magnetic resonance imaging
A report of two cases
Published online: Dec 27 2004
Herbert PLASSCHAERT, Kristof DE GEETER, Guy FABRY
From the Department of Orthopaedic Surgery, U.Z. Pellenberg, Lubbeek (Pellenberg), Belgium
Abstract
Two boys presenting with reluctance to sit straight
and stand were diagnosed with spondylodiscitis of
the lumbar spine. After confirmation of the diagnosis
on plain radiographs, computed tomography and
magnetic resonance imaging, they were successfully
treated with antibiotics and in one case a lumbar
orthosis. The use of magnetic resonance imaging is
discussed and compared to the other radiological
techniques. Magnetic resonance imaging seems to be
the most sensitive and specific imaging technique
used in the diagnostic process of spondylodiscitis.
Computed tomography and technetium bone scan
both play a specific part in the process of diagnosis
and follow-up.