Abstract：Objective: To study MRI and CT findings of brucellar spondylitis caused and to improve lever of the clinical diagnosis. Methods: We analyzed CT and MRI findings of 43 patients with brucellar spondylitis retrospectively. Results: ①Forty-three patients underwent routine MRI scan. There were 32 cases of vertebral bodies, a large patch of abnormal signal of vertebral body shadow 24 cases, 8 cases of vertebral body margin small patch shadow; Intervertebral disc inflammation and endplate inflammation in 10 cases; 2 cases of sacroiliac joint surface anomaly signal; 23 lesion beside of vertebral body. ②Ninteen patients underwent CT examination, including vertebral body destruction in 11 cases, vertebral peripheral small focal damage, a large patch of defects, edge horn were absent, hyperplasia of lesions around the hardening; Intervertebral disc inflammation and bulging with 8 cases; 4 cases merge vertebral hyperplasia of small joint surface hardening, 1 case of sacroiliac arthritis. ③Five cases involved one vertebral body(11.6%), two or more vertebral bodies involved in 30 cases(69.8%), 32 cases in the lumbar spine, L4, L5 vertebral rate was highest(53.1%). Conclusion: CT and MRI findings in brucellar spondylitis are characteristic. Comparing to CT, detectable rate of MRI is higher, especially in early stage of cases with vertebral body affected.
张 鹏，杨军妍，丁世斌，宋继业. 布氏杆菌性脊柱炎的MRI、CT表现[J]. 中国临床医学影像杂志, 2016, 27(4): 278-281.
ZHANG Peng, YANG Jun-yan, DING Shi-bin, SONG Ji-ye. MRI and CT findings of brucellar spondylitis. JOURNAL OF CHINA MEDICAL IMAGING, 2016, 27(4): 278-281.
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