CORRELATION BETWEEN FINDINGS IN MAGNETIC RESONANCE AND BIOPSY IN THE DIAGNOSIS OF SPONDYLODISCITIS

ABSTRACT Objective To correlate magnetic resonance imaging (MRI) findings with the microbiological and anatomopathological diagnosis of spinal infection. Methods A retrospective, cohort review of online medical records (laboratory, anatomopathology and diagnostic imaging sector) of patients diagnosed with spondylodiscitis, who underwent a full spine MR scan between January 2014 and July 2018 at the Department of Orthopedics and Traumatology of the Universidade Federal de São Paulo. Results Staphylococcus aureus was the most commonly found etiological agent (57%). Blood culture was positive in 76% of cases and 82% of the patients who underwent biopsy had a spondylodiscitis diagnosis. Pain was the most prevalent clinical symptom and the lumbosacral spine was the most frequent site of infection. T1 hyposignal, T2/STIR hypersignal, and terminal plate destruction were verified in almost all MR scans. Conclusions No direct correlation was found between MR findings and any specific etiological agent. Blood culture and biopsy are important diagnostic tools that should be used for accurate diagnosis of the infectious agent . Level of evidence IV; Diagnostic Study.

Bibliographic Details

Main Authors:	QUEIROZ,GUSTAVO LUCIO BARBOSA DE, FERNANDES,ELOY DE AVILA, GARCIA,ANDRÉ SOUSA, PINTO,IGOR PELLUCCI, GODOY,GABRIEL PARIS DE, CURTO,DAVID DEL, UETA,RENATO HIROSHI SALVIONI, PUERTAS,EDUARDO BARROS, DELL’AQUILA,ADRIANA MACEDO
Format:	Digital revista
Language:	English
Published:	Sociedade Brasileira de Coluna 2020
Online Access:	http://old.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512020000200123
Tags:	Add Tag No Tags, Be the first to tag this record!