Juvenile spondylodiscitis : the value of magnetic resonance imaging A report of two cases


Published online: Dec 27 2004

Herbert PLASSCHAERT, Kristof DE GEETER, Guy FABRY

From the Department of Orthopaedic Surgery, U.Z. Pellenberg, Lubbeek (Pellenberg), Belgium

Abstract

Two boys presenting with reluctance to sit straight and stand were diagnosed with spondylodiscitis of the lumbar spine. After confirmation of the diagnosis on plain radiographs, computed tomography and magnetic resonance imaging, they were successfully treated with antibiotics and in one case a lumbar orthosis. The use of magnetic resonance imaging is discussed and compared to the other radiological techniques. Magnetic resonance imaging seems to be the most sensitive and specific imaging technique used in the diagnostic process of spondylodiscitis. Computed tomography and technetium bone scan both play a specific part in the process of diagnosis and follow-up.