|
KMID : 0386119930290051039
|
|
Journal of the Korean Radiological Society
1993 Volume.29 No. 5 p.1039 ~ p.1044
|
|
|
Destructive Lesions of Vertebral Body: CT Findings and Differential Diagnosis of Inflammation and Malignancy
|
|
최석진
윤상흠/박선희/김숙영/전제량/은충기
|
|
|
Abstract
|
|
|
The CT findings and their differential points were evaluated by reviewing the CT scans of 47 patients with destructive lesions of vertebral bodies which included tuberculous spondylitis(23), pyogenic infection(9), syphilitic spondylitis(1) and
malignant
lesions(14). Twenty-one(91.3%) of 23 patients with tuberculous spondylitis showed mixed osteolytic and osteosclerotic patterns of bony destruction. Six(66.7%) of 9 patients with pyogenic infection and 10(71.4%) of 14 malignant lesions showed
osteolytic
pattern of bony destruction. Thirty(90.9%) of 33 infections lesions including pyogenic infection and tuberculous spondylitis involved intervertebral disc, while the involvement of intervertebral disc was not found in malignant lesions. The
Swisscheese
appearance of bony destruction was commonly seen in tuberculous spondylitis, but pyogenic infections and malignant lesions more commonly revealed geographic or moth-eaten appearance. The sequestral pattern and sclerotic rims in and around bony
destruction were mainly seen in tuberculous spondylitis, and they were thought to be specific findings in tuberculous spondylitis.
CT of the spine appears to offer the detailed findings of vertebral body destruction and may be a useful adjunct in differentiation between tuberculous spondylitis, pyogenic infections and malignant lesions of the spine.
|
|
|
KEYWORD
|
|
|
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
 
|