PDF(Pubmed)
Abstract：
Imaging plays an important role in the diagnosis of spinal infections. Early diagnosis is paramount in the treatment of spinal infections and leads to improved outcomes. This article reviews the imaging and relevant clinical details of infections of the spine: pyogenic spondylodiscitis, tuberculous spondylodiscitis, septic facet arthritis, epidural abscess, and subdural abscess. Though radiographs can reveal subtle changes with infections, advanced imaging modalities have increased sensitivity to aid in early diagnosis. Magnetic resonance imaging (MRI) is emphasized given it is generally the most sensitive and specific advanced imaging modality. However, nuclear medicine imaging and computer tomography (CT) play a role diagnosis in cases where MRI is not available or contra-indicated. Additionally, CT is also important for image-guided biopsy to guide antimicrobial treatment.
摘要：
影像学在脊柱感染的诊断中起着重要作用。早期诊断在脊柱感染的治疗中至关重要，并可改善预后。本文回顾了脊柱感染的影像学和相关临床细节：化脓性脊柱盘炎，结核性脊椎盘炎,化脓性关节关节炎,硬膜外脓肿,和硬膜下脓肿.虽然X光片可以揭示感染的微妙变化，先进的成像方式提高了辅助早期诊断的灵敏度.强调磁共振成像（MRI），因为它通常是最敏感和最具体的高级成像模式。然而,核医学成像和计算机断层扫描（CT）在MRI不可用或无效的情况下发挥诊断作用。此外,CT对于图像引导活检以指导抗菌治疗也很重要。
