Sɔmari Fɔ Di Karakta Dɛm Fɔ Difrɛn Spinal Infɛkshɔn Dɛm

di spεnal disaytis de mek 2% to 7% pan כl di mכskul skel infεkshכn dεm we baktri, fכn, εn, mכr sכmtεm, na parasayt dεm de kכz. lεk af pan כl di kεys dεm fכ spεnal infεkshכn de na di lכmba spayna, sכmtεm pas wan tכd na di tכraks spayna, εn di rεst na di sεvikal spayna.

Infεkshכn we de mek pɔrsin

Purulent spinal discitis (PS) kin kכz fכ wan infεkshכn we de sכt hεmatojen, wit Staphylococcus aureus na di mכst kכmכn pathogen, mכst tεm i involv di lכmba spayna, εn εks-ray dεm we nכ gεt spεsifisiti εn sεnsitiviti insay di fכs stej dεm fכ di sik. εnhans MRI na di mεtכd we dεn kin pik fכ di εli diagnosis fכ spεnal infεkshכn; MRI de sho se di bon mכro εdima εn di εnhansmεnt fכ di vεrbral bכdi dεm, di intavεrbral disk dεm, di epidural spεs, εn/כ di sכft tisu dεm we de rawnd wit כ we nכ gεt absεs fכmeshכn we de fכs nia di vεrbral εndplet dεm.

notis: (a) lateral lכmba spayna raydiograf we de sho L4 -L3 disk ayt lכs εn dεstrukshכn fכ di כp εndplεt fכ L4 (arכ). 

(b) Mild posita slip na L3. distrukshכn fכ di L3 - L4 disk wit erosive chenj dεm to di adjasent εndplet dεm (arכ dεm). 

(c) magnεtik rεsכnans (MR) imej we de sho εrosiv chenj dεm na di vεrbral εndplet dεm εn abnכmal signal fכ di adjasent vεrbral bon mכro (arכ). di prεvεrbral sכft tisu dεm de mak εdimashכn εn dεn gεt inflammatory chenj dεm. 

(d) Sajital t1 afta intravenכs kכntrast injεkshכn de sho εnhans signal na di bon mכro (asterisk), εnhans signal na di epidural spεs εn prεvεrbral sכft tisu. Notis di indenteshɔn na di sɛntral kanal (aro).

Spinal Tuberculosis we de mek pɔsin gɛt sik

Tubakulosis na di spayna (TS), di mכst kכmכn nכn-purulent granulomatous spεnal infεkshכn we Gram-positiv Mycobacterium tuberculosis kin kכz, εn di imej fכm dεm we de difrεnt TS frכm PS dεn sho dεm na di tebul dεn dכn:

let raydiograf sho bon dεstrukshכn, dεkrεshכn di disk ayt εn sכft tisu absεs wit כ witout kalsifikεshכn fכ di sכft tisu we de rawnd.

pan MRI, di tכpik t1 lכw-sayn intanεs εn hכy-signal intanεs fכ di fכluid-sεnsitiv sikεns dεm de involv di antεriכr vεrbral bכdi εn i kin εkstendi tru di subligamentous path to כda vεrbra dεm, jεnarali we nכ involv di disk.

notis: 65 ia ol man wit (a) akshal εn (b) lכmba absεs (asterisk) wit septal εn wכl εnhansmεnt (wayt aro dεm).L3 to S1 vεrbral bכdi εnhansmεnt. Kכlaps intavεrbral disk wit nכ signifyant εnhansmεnt. Dural sak kompreshɔn (wayt aro). (c) ct rεkכnstrכkshכn imej fכ L3 to S1 vεrbral bכdi dεstrukshכn.

Brucella Infεkshכn

Brucellosis na wan endemic zoonosis we de ɔlsay na di wɔl we wan gram-negative bacillus kin mek. כltεm i kin involv di lכmba spayna, spεshal wan L4.

di sik de bigin na di antεriכr pat pan di vεrbral bכdi na di intavεrbral disk εn i kin pwεl sכm jכyn dεm. di paravεrbral absεs dεm nכ kin apin sכm tεm εn dεn kin sכm sכm pas TS. di vεrbral anatomi de stil intakt.

notis: Brusεla lumborum infεkshכn, raydiograf dεm sho sklerכsis na di lכmba vεrbra, fכwכd slip na di lכmba vεrbra, i rεgul stεp lεk dεstrukshכn na di antεriכr margin fכ di vεrbral bכdi, εn fכmeshכn fכ bכni kribrifכm dεm na di antεriכr margin fכ di vεrbral bכdi.

Infεkshכn dεm we de fכ fכn

Fכngal spεnal infεkshכn (FS) nכ kin bכku εn dεn kin si am mכst pan di sik pipul dεm we dεn imyun supεrshכn. bכku fכn dεm kin involv, lεk Pseudomonas, Aspergillus, Bacillus, εn Coccidioides. di tכraks spayna na di sayt we kכmכn pas כl, εn lεk TS, di infεkshכn prכsεs de bigin na di antεriכr pat pan di vεrbra dεm εn sכmtεm i kin spre to di vεrbra dεm we nכ de nia.

Notis: CT skan sajital imej fɔ wan pɔsin we gɛt kɔksidioidomaykɔsis. limited bon lεsin dεm we nכ gεt sklerכtik margin dεm na di tכpik fכ dis pathogen in di prεzεntεshכn. bכku distrכkshכn fכ T1 de mek di vεrbral kolכpshכn. pan tap di bכku bכni lεshכn, di C7-T1 intavεrbral spεs bin prεzεv, wan kכntribyushכn chenj in kכksidioidomaykosis (rayt panεl) Sagittal MRT2WI fכ di sem pasεnt kכnfכm prεzεvεshכn fכ di C7-T1 intavεrbral spεs mכnt, wit wan siknifikant T2 signal we sho se di C6-C7 disk dεm involv εli. di bon lεshכn de εkstendi insay di sכbkכtikal bon antεriכr to di vεrbral bכdi, we de rizulta in antεriכr sכft tisu infεkshכn IV. infεkshכn chenj dεm de spre to mכltipכl lεvεl dεm, i izi fכ no di mכd fכ di sεl di sכbligamentכs tכp, we kin mek mכltipכl lεshכn dεm na lεvεl dεm we nכ de nia.

Ankylosing Spɔndylitis we de mek pɔsin gɛt sik

Ankylosing spondylitis (AS) na wan krεse inflammatory autoimmune disease we de afekt di spayna fכs εn i kin mek yu gεt siriכs krεse pen frכm spεnal fכshכn.

כda komplikashכn pan di sik pipul dεm we gεt AS na di divεlכpmεnt fכ limited disk sik, εn we dεn de imej, dεn kin difrεnt AL frכm inflammatory spondylitis bay fכkal dεfεkt dεm na wan כ tu adjasent vεrbra, sכmtεm na di disk spεs, εn εria dεm we riaktiv sklerכsis de rawnd di כsteolytic difεkt dεm.

Notis: Na pɔsin we gɛt ankylosing spondylitis, man we ol 44 ia we gɛt pen na in bɔdi we nɔ de dɔn ɛn we nɔ de muv bɛtɛ. di sajital ct fכ (a) tכraks εn (b) lכmbar spayna bon winda dεm de sho difכs ligamentכs sεndεsmכsis along di antεriכr lכnjitudinal ligament (arכ dεm). כsifikכshכn εn fכs fכ di lכmba intaspinכs ligamεnt dεm de bak (dεn sho di aro dεm). (c) di koronal imej na di lכmba spayna lεvεl de sho fכ fכm di posita εlimεnt dεm εn di artikulכr sinovial jכint dεm (arכ dεm).

Osteomyelitis Sindrom we pɔsin kin gɛt

di akrכnim SAPHO de tכk bכt wan kכmbaynshכn fכ di mכskul εn kכtan manifestɔ dεm (synovitis, akni, pustulosis, osteomalacia, εn osteomyelitis), wit di antεriכr tכraks wכl (inklud di stεnoklavikul jכint dεm, di kכstכraks jכint dεm, εn di stεrnoacetabular εlbo jכint dεm) we de involv mכst, dεn de fala di lכmba εn sεvikal spayna.di mכst kכmכn manifכsכn dεm pan εks-ray rεdyugraf na vεrbral bכdi כstiolaysis wit כ witout kolכpshכn, εn כsteomalasia εn paraspinal כsifikεshכn.MRI na di mכst sεnsitiv imej MRI na di mכst sεnsitiv imej mכdal, εn in mεn mεnεfεshכn dεm inklud waydspεd כ fכkal vεrbral signal chenj dεm pan fכluid-sεnsitiv sikεns dεm wit kכrtikכl eroshכn εn irεgulεriti na di intavεrbral jכnkshכn dεm na di intavεrbral disk dεm כ di antεriכr εndplet dεm, εn sכft tisu εdima.

Notis: 62 ia ol man we gɛt SAPHO sindrom. (a) Sajital t2-weyt εn (b) kכmpyuta tכmכgrafi (CT) imej dεm sho כsifikכshכn fכ di antεriכr lכnjitudinal ligament (blak aro dεm) nכ signifyant abnכmaliti dεm na di disk כ paravεrbral fכluid. di L1 de hεli riposishכn afta wan ol kכmpreshכn frakshכn. (c) Akshal CT sho ankylosis na di rayt kostovεrbral jכint (asterisk). (d) Oblique koronal CT rεkכnstrכkshכn de sho baylatarכl tכraks ribkεj klavikul ankylosis (blak asterisk dεm). (e) Bon skan we de sho di rediotracer uptek in di tu joyn dεm we afekt (wayt asterisk dεm).

Spɔndyloarthropathy we gɛt fɔ du wit dayalaysis

Dialysis-related spondyloarthropathy (DRS) na wan patɔlɔjik chenj na di sik pipul dɛn we de du lɔng tɛm ɛmodayalis. i kin kכmכn mכst na di sεvikal spayna εn i kin kכmכn wit di intavεrbral spεs we de sכmtεm, di dεstrukshכn fכ di εndplet dεm, sklerכsis nכ de, nyu bon fכmeshכn, paraspinal infεkshכn/absεs, εn di spεs strכng.

Notis: Bכku כstioporosis na di lכmba εn sakral pεlvis. distrכkshכn fכ di anterosuperior margin fכ di lכmba 5 vεrbra dεm wit sklerכtik haypaplasia fכ di margin dεm (dεn sho am wit di rεd aro). Adjasent skata haypaplasia. distrukshכn fכ di lεft sakroiliak jכint wit dεstrukshכn fכ di lateral artikulכr sεf fכ di ilium, mכltipכl intanεt dεd bon dεm, εn lokalizεd ska lεk tisu haypaplasia (dεn sho am wit blu aro dεm).

notis: εnhans MR: di lכmba 4/5 disk bulj wit vεrbral rim כstiofayt dεm, haypatrכfi fכ di ligamentum flavum, sכm sכm sכm sכm we di spεnal kanal de sכmtεm, εn di kכmpreshכn fכ di antεriכr edj fכ di dural sak. di lכmba 5 vεrbral bכdi de limited kכnkav εn dεn kin si am as strip dεm fכ lכng T1 εn T2 WI kכmpreshכn fεt hεy signal, εn dεn kin si εnhansmεnt afta εnhansmεnt. plεnti pat dεm fכ abnכmal signal dεn de si כnda di εndplet dεm na di lכmba 5 εn sakral 1 εn כnda di sakroiliak jכint dεm, wit lכw signal pan T1WI εn sכm hכy signal pan T2WI, εn dεn de si εnhansmεnt pan εnhansmεnt skan (rεd aro dεm). sכft tisu tik na di antεriכr margin fכ di sakral vεrbra dεm dεn si, εn dεn si εnhansmεnt pan εnhans skan (blu aro). di bon signal dεm fכ di ilium, hip, sakrum εn fεmoral ed na di tu say dεm na di pεlvis nכ sho nכ klia abnכmaliti, εn di signal dεm fכ di intanεt εn εksternal pεlvik mכsul dεm bin nכmal, wit klia mכsul gap dεm εn nכmal jכyn gap dεm, we nכ gεt sayn dεm fכ wayd εn sכmtεm.

Spinal Gout we yu kin gɛt

di spεnal gכt de sho se di mכnokristalin yurayt kristכl dεm (MUC) de dכn na di spayna. di spεnal gaut kin mεnli afekt di lכmba spayna. raydiograf dεm sho nכn spεsifi k manifestɔshכn dεm εn CT bεtε kכl bon eroshכn wit sklerכtik margin dεm. mri manifestɔshɔn dɛn nɔ spɛshal.

notis: CT plein skan sho di joyn spεs we de sכmtεm sכmtεm εn baylatarכl artikulכr sεf dεstrכkshכn. Arthrocentesis na fɔ kɔnfɔm di diagnosis.

Nyurospɔndylitis we gɛt di sik

Nyurojɛnik spɔndylitis (NS), we na wan distrɔktiv prɔgrɛsiv atrɔpati, kin apin afta yu dɔn lɔs di sɛns ɛn prɔpriosepshɔn. di mכst kכmכn kכz na traumatik spεnal kכd injuri, we de mek 70% pan di kes dεm. Ɔda tin dɛn we kin mek pɔsin gɛt dayabitis, spɛshal kɔd kavnɛs sik, ɛn ɔda nyurolɔjik disɔda lɛk peroneal muscular dystrophy ɛn Guillain-Barré syndrome. biכs fכ di rol we di tכrakכlכmba εn lumbosakral jכnkshכn dεm de ple fכ bia wet, na dεn na di sayt dεm we kin involv mכst.

di tכpik manifestɔshכn dεm fכ NS na bon fragmεnt dεm, intavεrbral jכint irεgulεriti εn inkכnsistεns we de mek di vεrbral bכdi slip, mכltipכl εndplεt dεm εn sכm jכint eroshכn dεm εn bak fכ kip di bon dεnsiti insay sklerכsis, εn bak sכft tisu mas dεm.

Notis: 58 ia ol man wit nyuropatik spayna. (a) Sagittal εn (b) koronal kכmpyuta tכmografik rεkכnstrכkshכn dεm sho mכltipכl lכmba vεrbral εndplεt dεm εn artikulכr sinovial jכint εroshכn (arכ dεm) wit bon fragmεnt dεm. distrukshכn fכ di L2-L3 intavεrbral disk yunit wit widen fכ di intavεrbral spεs (asterisk). (c) Sagittal εn (d) aksial t2-weyt magnεtik rεsכnans sikεns dεm we de kכnfכm di waydnin fכ di L2-L3 intavεrbral spεs. signifyant כltεrayshכn dεm fכ di afekt spεnal kכd posita to L2-L3-L4. efyushכn de bak na di sכft tisu dεm we de bifo εn antεriכr to di spayna prכsεs dεm (asterisk dεm).