Head and Neck Imaging
The Classification and Imaging Findings of Brucellar Spondylitis
Author:UN Chang-qing, LI Tian-jin, MA Jian-qing.
affiliation:Department of Medical Imaging, the Second People's Hospital of Dongying, Dongying 257335, Shandong Province, China
PDFAbstract
Objective To investigate the differences of CT and MRI manifestation in different types of brucellar spondylitis. Methods 34 cases of patients with brucellar spondylitis treated in our hospital from January 2014 to March 2015 were selected as the research objects. All were confirmed by clinical and laboratory tests and received lumbar magnetic resonance imaging (MRI) and CT examination. The results of MRI and CT examination were observed and recorded. The differences in imaging findings of different types were analyzed. Results Among the 34 cases of patients with confirmed brucellar spondylitis in this group, 85.3% of them had contact history with cattle, sheep and other livestock. The rate of L4 vertebral body involvement was the highest (58.8%), according to the differences in imaging findings, the subjects can be divided into 5 types, they were paravertebral and psoas abscess type, vertebral inflammatory type, discitis type, adnexitis type and paravertebral soft tissue type,the proportions were 17.6%(6/34), 26.5%(9/34), 20.6%(7/34), 17.6%(6/34) and 17.6%(6/34), respectively. Conclusion Imaging examination can be used as an effective method toidentify the types of brucellar spondylitis, so as to save times for diagnosis and treatment, improve the efficiency of diagnosis and treatment and comprehensively improve the prognosis of patients.
【Keyword】Brucellar Spondylitis; Clinical Typing; Imaging Finding
【Chart number】R516.7
【Document Identification Number】A
【DOI】 10.3969/j.issn.1672- 5131.2016.09.040
Chinese journal of CT and MRI
th14Volume, th 9 Issue
2016Year09Month
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