| Anterior disc protrusion as a cause for abdominal symptoms in childhood discitis. A case report. | |
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MedLine Citation:
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PMID: 10327517 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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STUDY DESIGN: A case report on infectious spondylitis in a child who reported abdominal pain and whose magnetic resonance image revealed anterior herniation of disc space contents. OBJECTIVES: To correlate the direction of disc protrusion in infectious spondylitis with clinical manifestations. SUMMARY OF BACKGROUND DATA: Previous studies have correlated posterior protrusion of disc space contents in infectious spondylitis with a clinical presentation of back pain, paravertebral muscle spasm, hamstrings tightness, and radiculopathy. None has connected anterior herniation of disc phlegmon with abdominal pain. METHODS: In addition to plain radiography and bone scintigraphy, magnetic resonance imaging was used to confirm the diagnosis of infectious spondylitis in a 6-year-old child with abdominal pain. Regular review for 1 year included repeat magnetic resonance imaging at 3 months. RESULTS: Initial magnetic resonance imaging revealed characteristic changes associated with infectious spondylitis throughout the L5-S1 vertebra-disc-vertebra unit and anterior protrusion of the disc material and phlegmon. Magnetic resonance imaging at follow-up examination 3 months later demonstrated complete resolution of the disc herniation. CONCLUSION: Future magnetic resonance imaging studies should correlate direction of disc herniation with age and symptomatology to validate or improve classifications of infectious spondylitis, which presently include only the last two parameters. |
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Authors:
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J K Wong-Chung; S A Naseeb; S G Kaneker; A J Aradi |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Spine Volume: 24 ISSN: 0362-2436 ISO Abbreviation: Spine Publication Date: 1999 May |
Date Detail:
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Created Date: 1999-06-28 Completed Date: 1999-06-28 Revised Date: 2009-07-09 |
Medline Journal Info:
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Nlm Unique ID: 7610646 Medline TA: Spine (Phila Pa 1976) Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 918-20 Citation Subset: IM |
Affiliation:
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Department of Orthopaedic Surgery, Salmaniya Medical Center, Bahrain. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Abdominal Pain
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diagnosis,
etiology*,
therapy Analgesia Anti-Bacterial Agents Bed Rest Child Discitis / complications*, diagnosis, therapy Drug Therapy, Combination / therapeutic use Follow-Up Studies Humans Intervertebral Disk Displacement / complications*, diagnosis, therapy Lumbar Vertebrae* / pathology Magnetic Resonance Imaging Male Sacrum* / pathology, radionuclide imaging |
| Chemical | |
Reg. No./Substance:
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0/Anti-Bacterial Agents |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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