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Evolution and Progression of Spondylodiskitis: A Case Presentation

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Presentation on theme: "Evolution and Progression of Spondylodiskitis: A Case Presentation"— Presentation transcript:

1 Evolution and Progression of Spondylodiskitis: A Case Presentation
Mohammed Emam, MD, Donald Lee, Grigory Syrkin, MD, Se Won Lee, MD  PM&R  Volume 10, Issue 1, Pages (January 2018) DOI: /j.pmrj Copyright © 2018 American Academy of Physical Medicine and Rehabilitation Terms and Conditions

2 Figure 1 Magnetic resonance images of the lumbar spine. Sagittal T2 (A), axial T2 (B), axial T1 (C), and sagittal short-tau inversion recovery (STIR) (D) weighted (D) images, showing mild diffuse disk bulge at L4-L5 (straight arrow, A), superimposed central protrusion with associated annular fissure (straight arrow, B), facet, and ligamentous hypertrophy (straight arrow, C). PM&R  , DOI: ( /j.pmrj ) Copyright © 2018 American Academy of Physical Medicine and Rehabilitation Terms and Conditions

3 Figure 2 Gadolinium-enhanced sagittal T1-weighted magnetic resonance images of the lumbar spine. (A) Image obtained 2 weeks after the initial presentation, with no signs of vertebral osteomyelitis or diskitis (straight arrow pointing at epidural venous plexus). (B) Image obtained at 3 weeks, showing bone marrow signal changes bordering L4-L5 and enhancement in the vertebral bodies and intervertebral disk (straight arrows). (C) Image obtained at 5 weeks, showing progressive L4 and L5 vertebral enhancement (straight arrows on sagittal image) and extension of paraspinal phlegmon into the psoas muscles (arrows on axial image). (D) Image obtained at 6 months, showing collapse of the L4 vertebral body with bony retropulsion of the inferior L4 endplate (straight arrow), causing moderate spinal canal stenosis, improving edema with persistent irregular enhancement of the L4 and L5 endplates (curved arrow). PM&R  , DOI: ( /j.pmrj ) Copyright © 2018 American Academy of Physical Medicine and Rehabilitation Terms and Conditions


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