Details

Autor(en) / Beteiligte

• Alaya, Z.
• El Amri, N.
• Baccouche, K.
• Zaghouani, H.
• Belghali, S.
• Amri, D.
• Zeglaoui, H.
• Bouajina, E.

Titel

THU0261 Contribution of Imaging in Infectious Spondylodiscitis (About 78 Cases)

Ist Teil von

• Annals of the rheumatic diseases, 2015-06, Vol.74 (Suppl 2), p.291-291

Ort / Verlag

London: BMJ Publishing Group LTD

Erscheinungsjahr

2015

Quelle

BMJ Journals Archiv - DFG Nationallizenzen

Beschreibungen/Notizen

• BackgroundInfectious spondylodiscitis is an infection of the intervertebral disc and the adjacent vertebral bodies. Imaging has a key role in the diagnosis orientation, lesions assessment and bacteriological investigation.ObjectivesThe objective of this study was to provide an overview of the radiological features of infectious spondylodiscitis.MethodsThis is a retrospective study of 78 cases of infectious spondylodiscitis collected in the Department of Rheumatology over a period of 16 years [1998-2014]. The diagnosis was made based on clinical, biological, radiological and bacteriological arguments.ResultsSeventy eight patients were included. Our population consists of 50 men (64.1%) and 28 women (35.9%) with a mean age of 59.2 years [18-84 years]. Inflammatory low back pain, fever and deterioration of the general status were the most common symptoms. Neurological impairment was objectified in 55.9% of cases. Inflammatory biological syndrome was present in 89.7% of cases. Spondylodiscites was suspected according to X-ray findings in 59 cases, showing disc space narrowing and irregularity of the end-plates. MRI and spinal CT performed respectively in 76.9% of cases and 47.4% of cases showed an epiduritis in 52.6%, paravertebral abscess formation in 34.6%, and an epidural abscess in 14.2% of cases. CT- guided disco vertebral biopsy was performed in 56% of cases leading to the diagnosis in 27% of cases. The lumbar region was the most common affected (66.6%) followed by dorsal spine (26.9%) and cervical spine (8.5%). Spondylodiscitis was multifocal in 7.7% of cases and multistage in 11.5% of cases. MRI showed spinal cord compression in 15.4% of cases which was symptomatic in 9% of cases. Germs responsible of spondylodiscitis were tuberculosis in 44.9%, brucellosis in 20.5% of cases and pyogenic bacteria in 29.5% of cases. All patients underwent adapted antibiotics.ConclusionsImaging has an important role in the diagnosis of infectious spondylodiscitis. MRI is considered as the imaging technique of choice in infectious spondylodiscitis which can provide a mapping of the lesions and detects potentially serious neurological complications. The importance of whole spine imaging should be also underlined especially in case of multifocal infectious spondylodiscitis.Disclosure of InterestNone declared