Role of technetium-99m diphosphonate and gallium-67 citrate bone scanning in the early diagnosis of infectious spondylodiscitis. A comparative study.

Nolla-Solé, J M; Mateo-Soria, Lourdes; Rozadilla-Sacanell, A; Mora-Salvador, J; Valverde-García, J; Roig-Escofet, D

doi:10.1136/ard.51.5.665

Cited by 23 publications

(13 citation statements)

References 7 publications

(2 reference statements)

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“…The possibility of a negative bone scan early in the course of the illness and a positive 67Ga scan a short while later in our patient is confirmed by reports in the literature (4). The possibility of a negative bone scan early in the course of the illness and a positive 67Ga scan a short while later in our patient is confirmed by reports in the literature (4).…”

Section: Streptococcus Intermedius Spondylodiskitissupporting

confidence: 86%

Streptococcus intermedius spondylodiskitis

Georgilis

Prifti

Vorropoulou

et al. 1994

Eur. J. Clin. Microbiol. Infect. Dis.

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Section: Streptococcus Intermedius Spondylodiskitissupporting

confidence: 86%

Streptococcus intermedius spondylodiskitis

Georgilis

Prifti

Vorropoulou

et al. 1994

Eur. J. Clin. Microbiol. Infect. Dis.

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“…The 67 Ga scans are more specific because Ga binds to iron-binding proteins at the site of inflammation. 46 The 111 In-tagged WBC scans are more specific for infection than either Ga or Tc scans, although they can lead to false-negative results in cases of chronic inflammation. 64 Although these radioisotope scans, particularly tagged WBC scans, can be useful in the diagnosis of spinal infection in cases in which MR images are equivocal, false-positive results can be seen in the case of spinal tumors and after trauma.…”

Section: Ga and 99mentioning

confidence: 99%

Diagnosis and management of adult pyogenic osteomyelitis of the cervical spine

Acosta

Chin

Quiñones‐Hinojosa³

et al. 2004

FOC

111

119

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Establishing the diagnosis of cervical osteomyelitis in a timely fashion is critical to prevent catastrophic neurological injury. In the modern imaging era, magnetic resonance imaging in particular has facilitated the diagnosis of cervical osteomyelitis, even before the onset of neurological signs or symptoms. Nevertheless, despite advancements in diagnosis, disagreement remains regarding appropriate surgical treatment. The role of instrumentation and type of graft material after cervical decompression remain controversial. The authors describe the epidemiological features, pathogenesis, and diagnostic evaluation, and the surgical and nonsurgical interventions that can be used to treat osteomyelitis of the cervical spine. They also review the current debate about the role of instrumentation in preventing spinal deformity after surgical decompression for cervical osteomyelitis. Based on this review, the authors conclude that nonsurgical therapy is appropriate if neurological signs or symptoms, instability, deformity, or spinal cord compression are absent. Surgical decompression, debridement, stabilization, and deformity correction are the goals once the decision to perform surgery has been made. The roles of autogenous graft, instrumentation, and allograft have not been clearly delineated with Class I data, but the authors believe that spinal stability and decompression override creating an environment that can be completely sterilized by antibiotic drugs.

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“…The Gallium-67 scintigraphy scans are more specifi c because Gallium binds to iron-binding proteins at the site of infl ammation. 31 It is a valuable adjunct to bone scan. When Technetium-99m-methylene diphosphonate bone and Gallium-67 scintigraphies are combined, they have a sensitivity of 90%, a specifi city of 100% and accuracy of 94%.…”

Section: Radiologymentioning

confidence: 99%

Postoperative Pyogenic Cervical Discovertebral Spondylitis

Sharma

2016

Nep J Neurosci

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Postoperative cervical discovertebral spondylitis is an uncommon problem, especially if it occurs soon after another surgery somewhere else in the body. The diagnosis is late as the symptoms like neck pain, are initially ignored and may present later with features of unstable spine and neurological defi cits. Management is like for any other pygenic spondylitis and may need surgical debridement, decompression and fi xation. Overall prognosis is good with timely treatment. Since the neck problem occurs soon after a surgery elsewhere in the body, the previous surgery could be blamed for the present spondylitis. Thus this may add a medico-legal dimension to the problem. Nepal Journal of Neuroscience. Vol. 13, No. 2, 2016, Page: 81-87

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Role of technetium-99m diphosphonate and gallium-67 citrate bone scanning in the early diagnosis of infectious spondylodiscitis. A comparative study.

Cited by 23 publications

References 7 publications

Streptococcus intermedius spondylodiskitis

Streptococcus intermedius spondylodiskitis

Diagnosis and management of adult pyogenic osteomyelitis of the cervical spine

Postoperative Pyogenic Cervical Discovertebral Spondylitis

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