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05 Spine infection
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05/01/2023
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Spine Imaging: Spine InfectionSpine infection risk is increased in patients with the following risk factors:- {{c1::diabetes}}- {{c2::drug abuse}}- {{…
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05/01/2023
Spine Imaging: Spine InfectionIt can be helpful to think of spine infection in terms of “compartments” including:- {{c1::retroperitoneum/psoas}}- {{c2…
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Spine Imaging: Spine Infection{{c1::Discitis/osteomyelitis}} is infection of the disc-endplate complex
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Spine Imaging: Spine InfectionDiscitis/osteomyelitis most commonly occurs due to {{c1::hematogeneous::route}} spread
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Spine Imaging: Spine InfectionOne segmental lumbar artery supplies {{c1::2 endplates::# of segmental endplates}}, although usually {{c2::only 1 e…
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Spine Imaging: Spine InfectionIn discitis/osteomyelitis, hematogeneous infection in adults starts in the {{c1::endplate::structure}}, then spreads to …
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Spine Imaging: Spine InfectionIn {{c2::children::demographic}}, the intervertebral disc can act as the nidus for infection because it i…
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Spine Imaging: Spine InfectionWhat is the optimal imaging modality for suspected discitis/osteomyelitis?{{c1::MRI}}
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Spine Imaging: Spine Infectionmost sensitive MRI sign to detect spinal infection → {{c1::paraspinal or epidural inflammatory change}}
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Spine Imaging: Spine InfectionOther MRI findings of Spinal {{c1::infection}} include:- vertebral endplate {{c2::erosion/destruction}}- …
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Spine Imaging: Spine InfectionCase: Spinal InfectionYellow arrow: {{c1::enhancement}} at the left aspect of the L3–L4 discRed arrows: enhancing {{c2::…
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Spine Imaging: Spine Infection{{c3::Epidural::spine}} space infection may be caused by {{c1::phlegmon}} or {{c2::abscess}}
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Spine Imaging: Spine InfectionEpidural {{c3::abscesses::abscess/phlegmon}} are centrally {{c1::necrotic::characteristic}}, and can may exert…
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Spine Imaging: Spine InfectionNormal epidural fat is {{c1::hyper}}-intense on T1-weighted images
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Spine Imaging: Spine InfectionWhat imaging technique is helpful to detect early epidural infection?{{c1::fat suppression}}
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Spine Imaging: Spine InfectionCase: Spinal AbscessYellow arrows: {{c1::edema}} and enhancing {{c1::osteitis}} across L5–S1Red arrows: prominent anteri…
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Spine Imaging: Spine InfectionFacet septic arthritis is {{c1::rare::common/rare}}
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Spine Imaging: Spine InfectionFacet septic arthritis should be considered when the degree of {{c1::periarticular inflammatory}} change is ou…
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Spine Imaging: Spine InfectionFacet arthropathy is far {{c1::more::more/less}} common than Facet septic arthritis
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Spine Imaging: Spine InfectionCase: Spine InfectionYellow arrows: prominent {{c1::edema}} posterior to the right facet joint; far more conspicuous on …
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Spine Imaging: Spine Infection{{c2::Tuberculous osteomyelitis}} is also called {{c1::Pott disease}}
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Spine Imaging: Spine InfectionTuberculous osteomyelitis (Pott disease) is a {{c2::vertebral}} infection caused by {{c1::Mycobacterium tuberc…
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Spine Imaging: Spine InfectionAre the intervertebral discs spared in pyogenic discitis/osteomyelitis?{{c1::No}}
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Spine Imaging: Spine InfectionAre the intervertebral discs spared in Tuberculous osteomyelitis (Pott disease)?{{c1::Yes}}
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Spine Imaging: Spine InfectionThe intervertebral discs are usually spared in tuberculous osteomyelitis because M. tuberculosis lacks the {{c1::proteol…
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Spine Imaging: Spine Infection{{c1::Tuberculous osteomyelitis (Pott disease)::spine infection}} classically causes {{c2::wedge}}-shaped {{c3::com…
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Spine Imaging: Spine InfectionVertebral body compression seen in Tuberculous osteomyelitis (Pott disease) often leads to a {{c1::gibbus…
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Spine Imaging: Spine Infection{{c1::Gibbus}} deformity is an acutely angled {{c2::kyphosis}}
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Spine Imaging: Spine InfectionGibbus deformity may result from a {{c1::compression}} fracture
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Spine Imaging: Spine InfectionGibbus deformity can be seen in congenital syndromes including {{c1::achondroplasia}} and {{c2::mucopolysaccha…
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Spine Imaging: Spine InfectionWhat percent of patients with Tuberculous osteomyelitis (Pott disease) have active pulmonary tuberculosis?{{c1::~10%}}
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