CORRELATION BETWEEN FINDINGS IN MAGNETIC RESONANCE AND BIOPSY IN THE DIAGNOSIS OF SPONDYLODISCITIS

• Main Authors: GUSTAVO LUCIO BARBOSA DE QUEIROZ, ELOY DE AVILA FERNANDES, ANDRÉ SOUSA GARCIA, IGOR PELLUCCI PINTO, GABRIEL PARIS DE GODOY, DAVID DEL CURTO, RENATO HIROSHI SALVIONI UETA, EDUARDO BARROS PUERTAS, ADRIANA MACEDO DELL’AQUILA
• Format: Article
• Language: English
• Published: Sociedade Brasileira de Coluna (SBC)
• Series: Coluna/Columna
• Subjects: discite; imagem por ressonância magnética; biópsia; coluna vertebral; hemocultura
• Online Access: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1808-18512020000200123&lng=en&tlng=en

ABSTRACT Objective To correlate magnetic resonance imaging (MRI) findings with the microbiological and anatomopathological diagnosis of spinal infection. Methods A retrospective, cohort review of online medical records (laboratory, anatomopathology and diagnostic imaging sector) of patients diagnosed with spondylodiscitis, who underwent a full spine MR scan between January 2014 and July 2018 at the Department of Orthopedics and Traumatology of the Universidade Federal de São Paulo. Results Staphylococcus aureus was the most commonly found etiological agent (57%). Blood culture was positive in 76% of cases and 82% of the patients who underwent biopsy had a spondylodiscitis diagnosis. Pain was the most prevalent clinical symptom and the lumbosacral spine was the most frequent site of infection. T1 hyposignal, T2/STIR hypersignal, and terminal plate destruction were verified in almost all MR scans. Conclusions No direct correlation was found between MR findings and any specific etiological agent. Blood culture and biopsy are important diagnostic tools that should be used for accurate diagnosis of the infectious agent . Level of evidence IV; Diagnostic Study.