Pyogenic spinal infections

Neuroimaging Clin N Am. 2015 May;25(2):193-208. doi: 10.1016/j.nic.2015.01.003.

Abstract

Spinal infections are a spectrum of disease comprising spondylitis, diskitis, spondylodiskitis, pyogenic facet arthropathy, epidural infections, meningitis, polyradiculopathy, and myelitis. Inflammation can be caused by pyogenic, granulomatous, autoimmune, idiopathic, and iatrogenic conditions. In an era of immune suppression, tuberculosis, and HIV epidemic, together with worldwide socioeconomic fluctuations, spinal infections are increasing. Despite advanced diagnostic technology, diagnosis of this entity and differentiation from degenerative disease, noninfective inflammatory lesions, and spinal neoplasms are difficult. Radiological evaluations play an important role, with contrast-enhanced MR imaging the modality of choice in diagnosis, evaluation, treatment planning, interventional treatment, and treatment monitoring of spinal infections.

Keywords: Imaging; Pyogenic; Spinal Infection.

Publication types

  • Review

MeSH terms

  • Epidural Abscess / diagnosis
  • Epidural Abscess / pathology
  • Humans
  • Magnetic Resonance Imaging
  • Spinal Diseases / diagnosis*
  • Spinal Diseases / microbiology*
  • Spinal Diseases / pathology
  • Spine / microbiology*
  • Spine / pathology
  • Spondylitis / diagnosis
  • Spondylitis / pathology