SPECT in the Management of Patients With Back Pain and Spondylolysis

Dutton, Jane A. E.; Hughes, Sean; Peters, A. M.

doi:10.1097/00003072-200002000-00001

Cited by 32 publications

(13 citation statements)

References 9 publications

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“…This finding may be partially explained by the ability of SPECT to detect high rates of bone turnover as would be seen in acute spondylolysis or spondylolisthesis, the two most common diagnoses in our series. The literature suggests in a chronic pars fracture or nonunion in which there is little to no bone turnover or healing processes occurring, SPECT is less capable of detecting any abnormality [10,13,21,25]. However, we cannot know how this predictability would be affected (if at all) if the proportion of diagnoses other than pars disorders was much higher.…”

Section: Discussionmentioning

confidence: 93%

Streamlining the Evaluation of Low Back Pain in Children

Auerbach

Ahn

Zgonis

et al. 2008

Clin Orthop Relat Res

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The workup of low back pain in children often results in overimaging so as not to miss organic back pain. The primary goal of this study was to identify which combination of imaging modalities provides the most sensitive and specific screening protocol for children with low back pain. Medical records from 100 consecutive patients between 2 and 18 years of age presenting with low back pain, without night pain or constitutional symptoms, were evaluated. A hyperextension test combined with a radiograph showed a negative predictive value of 0.81 and sensitivity of 0.90. The addition of a bone scan was highly effective in achieving good negative predictive value and sensitivity. Bone scans had perfect negative predictive value and sensitivity when symptom duration was less than 6 weeks. We identified a set of factors that is highly predictive for distinguishing organic back pain from mechanical back pain. Painless hyperextension combined with negative anteroposterior, lateral, and oblique lumbar radiographs and magnetic resonance images predicts mechanical back pain. For patients with nonneurologic back pain of less than 6 weeks duration, bone scan is the most useful screening test because it is accurate, accessible, inexpensive, and unlikely to require sedation.

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Section: Discussionmentioning

confidence: 93%

Streamlining the Evaluation of Low Back Pain in Children

Auerbach

Ahn

Zgonis

et al. 2008

Clin Orthop Relat Res

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“…25,26 Anterior and posterior disc height in lateral radiography amounted 3 mm. Discography including distension test led to the typical low back pain.…”

Section: Case Reportmentioning

confidence: 96%

Acquired Spondylolysis After Implantation of a Lumbar ProDisc II Prosthesis

Schulte¹,

Lerner²,

Hackenberg³

et al. 2007

Spine

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“…Additionally, radionuclide bone scintigraphy with single photon emission CT (SPECT) has been used to detect microcalcification due to increased osteoblastic activity [179,180]. More recently, it was reported that the hybrid SPECT/CT imaging identifies potential chronic spinal pain generators in 92% of cervical spine scans and 86% of lumbar spine scans [181].…”

Section: System Grading In Dd and Facet Joint Degenerationmentioning

confidence: 99%