| An unusual cause of low back pain. Osteomyelitis of the spinous process. | |
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MedLine Citation:
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PMID: 9563117 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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A M Buoncristiani; G McCullen; A Y Shin; B Bathgate; B A Akbarnia |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Spine Volume: 23 ISSN: 0362-2436 ISO Abbreviation: Spine Publication Date: 1998 Apr |
Date Detail:
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Created Date: 1998-06-04 Completed Date: 1998-06-04 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: 839-41 Citation Subset: IM |
Affiliation:
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Department of Orthopaedic Surgery, Naval Medical Center, San Diego, California, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Child Female Humans Low Back Pain / etiology* Lumbar Vertebrae / pathology*, radionuclide imaging Magnetic Resonance Imaging Middle Aged Osteomyelitis / complications*, radionuclide imaging |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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