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16-01-2024 | Spondylodiscitis | Review Article

Imaging assessment of spine infection

Authors: Olga Laur, Alison Schonberger, Drew Gunio, Shlomo Minkowitz, Gayle Salama, Christopher J. Burke, Roger J. Bartolotta

Published in: Skeletal Radiology

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Abstract

This article comprehensively reviews current imaging concepts in spinal infection with primary focus on infectious spondylodiscitis (IS) as well as the less common entity of facet joint septic arthritis (FSA). This review encompasses the multimodality imaging appearances (radiographs, CT, MRI, and nuclear imaging) of spinal infection—both at initial presentation and during treatment—to aid the radiologist in guiding diagnosis and successful management. We discuss the pathophysiology of spinal infection in various patient populations (including the non-instrumented and postoperative spine) as well as the role of imaging-guided biopsy. We also highlight several non-infectious entities that can mimic IS (both clinically and radiologically) that should be considered during image interpretation to avoid misdiagnosis. These potential mimics include the following: Modic type 1 degenerative changes, acute Schmorl’s node, neuropathic spondyloarthropathy, radiation osteitis, and inflammatory spondyloarthropathy (SAPHO syndrome).
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Metadata
Title
Imaging assessment of spine infection
Authors
Olga Laur
Alison Schonberger
Drew Gunio
Shlomo Minkowitz
Gayle Salama
Christopher J. Burke
Roger J. Bartolotta
Publication date
16-01-2024
Publisher
Springer Berlin Heidelberg
Published in
Skeletal Radiology
Print ISSN: 0364-2348
Electronic ISSN: 1432-2161
DOI
https://doi.org/10.1007/s00256-023-04558-3