Publikationsserver der RWTH Aachen University
Wertigkeit bildgebender Verfahren zur Diagnosestellung und Therapieverlaufskontrolle der Spondylodiszitis
Abstract
dc:descriptionFifty-nine patients with spondylodiscitis of the thoracic and/or lumbar spine were followed-up clinically and radiologically (X-ray, computed tomography (CT), magnetic resonance imaging (MRI)) over a mean time of 2.2 years (1-6,5 years). All patients without abscess formation (n = 35) were treated conservatively. Out of the group with abscess formation (n = 24) 6 patients were also treated conservatively, 11 were drained under CT control and 7 were operated. At time of diagnosis, „signs of florid inflammation” were seen in 60% of the roentgenograms, in 93% of the CTs an in all of the MRIs. The sensitivity to differentiate between SD with and without abscess formation was 85% by MRI and 69% by CT. „Signs of regressive inflammation” and „signs of increasing osseous consolidation”, essential facts for starting remobilization, could first be seen using CT 6 weeks after onset of therapy. Using MRI these signs were seen with a consi-derable delay at 12 weeks. Clinically, only 3 of the 59 analyzed patients developed recurrent SD. In conclusion, MRI is the radiological method of choice for establishing the diagnosis of SD, in particular with regard to differentiating between cases with and without abscess formations. In contrast, CT is superior for performing success control after treatment. Therapeutically, conservative, minimal-invasive and operative procedure are not rival but rather complemantary.
Degree
thesis:*- Grantor dc:publisher
- Publikationsserver der RWTH Aachen University
- Year dc:date
- 2001
Author and committee
dc:creator, dc:contributor.*- Author dc:creator
-
- Genius, Iris
- Contributors dc:contributor
-
- Zilkens, Karl Walter
Subjects
dc:subject × 2Rights
dc:rights- Statement dc:rights
-
- info:eu-repo/semantics/openAccess
- Language dc:language
- ger