Document Detail

An unusual cause of low back pain. Osteomyelitis of the spinous process.
MedLine Citation:
PMID:  9563117     Owner:  NLM     Status:  MEDLINE    
STUDY DESIGN: A case report of osteomyelitis of the spinous process. OBJECTIVE: To describe the diagnosis and successful treatment of a patient with spinous process osteomyelitis. SUMMARY OF BACKGROUND DATA: Spinous process osteomyelitis is exceedingly rare and may be misdiagnosed as paraspinal muscle strain, discitis, or vertebral body osteomyelitis. The clinical presentation of spinous process osteomyelitis is subtle, laboratory findings are nonspecific, and radiographs are often normal. METHODS: The diagnosis, treatment, and outcome of two patients with spinous process osteomyelitis (an adult and a child) with insidious, nonspecific lumbar pain and fever are reviewed. RESULTS: Magnetic resonance imaging with and without gadolinium enhancement demonstrated increased signal of the spinous process with paraspinous musculature enhancement, a finding consistent with spinous process osteomyelitis. Biopsy results demonstrated the presence of staphylococcus aureus in the child and no organisms in the adult. Treatment with intravenous antibiotics led to resolution in both cases. CONCLUSIONS: The use of magnetic resonance imaging technology permitted the early and accurate diagnosis of spinous process osteomyelitis.
A M Buoncristiani; G McCullen; A Y Shin; B Bathgate; B A Akbarnia
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Spine     Volume:  23     ISSN:  0362-2436     ISO Abbreviation:  Spine     Publication Date:  1998 Apr 
Date Detail:
Created Date:  1998-06-04     Completed Date:  1998-06-04     Revised Date:  2009-07-09    
Medline Journal Info:
Nlm Unique ID:  7610646     Medline TA:  Spine (Phila Pa 1976)     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  839-41     Citation Subset:  IM    
Department of Orthopaedic Surgery, Naval Medical Center, San Diego, California, USA.
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MeSH Terms
Low Back Pain / etiology*
Lumbar Vertebrae / pathology*,  radionuclide imaging
Magnetic Resonance Imaging
Middle Aged
Osteomyelitis / complications*,  radionuclide imaging

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