Computerized tomography of pelvic osteomyelitis in patients with spinal cord injuries
Computerized tomography (CT) was performed in 19 patients with spinal cord injury (SCI) who had large pressure sores and in whom other complications were suspected. CT detected the depth, extent, and degree of undermining of the edges of the pressure sores in 19 of 27 lesions. Conventional radiograp...
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| Veröffentlicht in: | Clin. Orthop.; (United States) 1983-12, Vol.181 (181), p.126-131 |
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| creator | FIROOZNIA, H RAFII, M GOLIMBU, C SOKOLOW, J |
| description | Computerized tomography (CT) was performed in 19 patients with spinal cord injury (SCI) who had large pressure sores and in whom other complications were suspected. CT detected the depth, extent, and degree of undermining of the edges of the pressure sores in 19 of 27 lesions. Conventional radiography detected four cases of pelvic osteomyelitis. CT detected eight additional cases of pelvic osteomyelitis, as well as eight clinically unsuspected peripelvic and intrapelvic abscesses. Technetium-99m bone scanning was not very helpful because of localization in chronic proliferative changes of bone and widespread foci of myositis ossificans, as well as in osteomyelitis. Gallium-67 scanning detected only one of six abscesses. It was not very helpful because of confusion of abscess and osteomyelitis with intense soft tissue swelling and cellulitis, which are often associated with pressure sores in patients with chronic SCI. CT was found to be, by far, the modality of choice for detection of pelvic osteomyelitis and abscess in patients with SCI. |
| doi_str_mv | 10.1097/00003086-198312000-00019 |
| format | Article |
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Hospital, New York, NY</creatorcontrib><description>Computerized tomography (CT) was performed in 19 patients with spinal cord injury (SCI) who had large pressure sores and in whom other complications were suspected. CT detected the depth, extent, and degree of undermining of the edges of the pressure sores in 19 of 27 lesions. Conventional radiography detected four cases of pelvic osteomyelitis. CT detected eight additional cases of pelvic osteomyelitis, as well as eight clinically unsuspected peripelvic and intrapelvic abscesses. Technetium-99m bone scanning was not very helpful because of localization in chronic proliferative changes of bone and widespread foci of myositis ossificans, as well as in osteomyelitis. Gallium-67 scanning detected only one of six abscesses. It was not very helpful because of confusion of abscess and osteomyelitis with intense soft tissue swelling and cellulitis, which are often associated with pressure sores in patients with chronic SCI. CT was found to be, by far, the modality of choice for detection of pelvic osteomyelitis and abscess in patients with SCI.</description><identifier>ISSN: 0009-921X</identifier><identifier>EISSN: 1528-1132</identifier><identifier>DOI: 10.1097/00003086-198312000-00019</identifier><identifier>PMID: 6227439</identifier><identifier>CODEN: CORTBR</identifier><language>eng</language><publisher>Heidelberg: Springer</publisher><subject>550602 -- Medicine-- External Radiation in Diagnostics-- (1980-) ; Abscess - diagnostic imaging ; ABSCESSES ; Adolescent ; Adult ; BETA DECAY RADIOISOTOPES ; BETA-MINUS DECAY RADIOISOTOPES ; Biological and medical sciences ; BIOMEDICAL RADIOGRAPHY ; Biopsy, Needle ; BODY ; BODY AREAS ; CENTRAL NERVOUS SYSTEM ; COMPARATIVE EVALUATIONS ; COMPUTERIZED TOMOGRAPHY ; COUNTING TECHNIQUES ; DAYS LIVING RADIOISOTOPES ; DIAGNOSIS ; DIAGNOSTIC TECHNIQUES ; Diphosphonates ; DISEASES ; ELECTRON CAPTURE RADIOISOTOPES ; GALLIUM 67 ; GALLIUM ISOTOPES ; Gallium Radioisotopes ; HOURS LIVING RADIOISOTOPES ; Humans ; INJURIES ; Injuries of the nervous system and the skull. Diseases due to physical agents ; INTERMEDIATE MASS NUCLEI ; ISOMERIC NUCLEI ; ISOMERIC TRANSITION ISOTOPES ; ISOTOPES ; Medical sciences ; MEDICINE ; NERVOUS SYSTEM ; NUCLEAR MEDICINE ; NUCLEI ; ODD-EVEN NUCLEI ; OSTEOMYELITIS ; Osteomyelitis - diagnostic imaging ; Osteomyelitis - etiology ; PATHOLOGICAL CHANGES ; PATIENTS ; Pelvic Bones ; PELVIS ; Pressure Ulcer - diagnostic imaging ; RADIOISOTOPE SCANNING ; RADIOISOTOPES ; RADIOLOGY ; RADIOLOGY AND NUCLEAR MEDICINE ; SCINTISCANNING ; SKELETAL DISEASES ; SPINAL CORD ; Spinal Cord Injuries - complications ; Technetium ; TECHNETIUM 99 ; TECHNETIUM ISOTOPES ; Technetium Tc 99m Medronate ; TOMOGRAPHY ; Tomography, X-Ray Computed ; Traumas. Diseases due to physical agents ; YEARS LIVING RADIOISOTOPES 550601 -- Medicine-- Unsealed Radionuclides in Diagnostics</subject><ispartof>Clin. 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Hospital, New York, NY</creatorcontrib><title>Computerized tomography of pelvic osteomyelitis in patients with spinal cord injuries</title><title>Clin. Orthop.; (United States)</title><addtitle>Clin Orthop Relat Res</addtitle><description>Computerized tomography (CT) was performed in 19 patients with spinal cord injury (SCI) who had large pressure sores and in whom other complications were suspected. CT detected the depth, extent, and degree of undermining of the edges of the pressure sores in 19 of 27 lesions. Conventional radiography detected four cases of pelvic osteomyelitis. CT detected eight additional cases of pelvic osteomyelitis, as well as eight clinically unsuspected peripelvic and intrapelvic abscesses. Technetium-99m bone scanning was not very helpful because of localization in chronic proliferative changes of bone and widespread foci of myositis ossificans, as well as in osteomyelitis. Gallium-67 scanning detected only one of six abscesses. It was not very helpful because of confusion of abscess and osteomyelitis with intense soft tissue swelling and cellulitis, which are often associated with pressure sores in patients with chronic SCI. CT was found to be, by far, the modality of choice for detection of pelvic osteomyelitis and abscess in patients with SCI.</description><subject>550602 -- Medicine-- External Radiation in Diagnostics-- (1980-)</subject><subject>Abscess - diagnostic imaging</subject><subject>ABSCESSES</subject><subject>Adolescent</subject><subject>Adult</subject><subject>BETA DECAY RADIOISOTOPES</subject><subject>BETA-MINUS DECAY RADIOISOTOPES</subject><subject>Biological and medical sciences</subject><subject>BIOMEDICAL RADIOGRAPHY</subject><subject>Biopsy, Needle</subject><subject>BODY</subject><subject>BODY AREAS</subject><subject>CENTRAL NERVOUS SYSTEM</subject><subject>COMPARATIVE EVALUATIONS</subject><subject>COMPUTERIZED TOMOGRAPHY</subject><subject>COUNTING TECHNIQUES</subject><subject>DAYS LIVING RADIOISOTOPES</subject><subject>DIAGNOSIS</subject><subject>DIAGNOSTIC TECHNIQUES</subject><subject>Diphosphonates</subject><subject>DISEASES</subject><subject>ELECTRON CAPTURE RADIOISOTOPES</subject><subject>GALLIUM 67</subject><subject>GALLIUM ISOTOPES</subject><subject>Gallium Radioisotopes</subject><subject>HOURS LIVING RADIOISOTOPES</subject><subject>Humans</subject><subject>INJURIES</subject><subject>Injuries of the nervous system and the skull. Diseases due to physical agents</subject><subject>INTERMEDIATE MASS NUCLEI</subject><subject>ISOMERIC NUCLEI</subject><subject>ISOMERIC TRANSITION ISOTOPES</subject><subject>ISOTOPES</subject><subject>Medical sciences</subject><subject>MEDICINE</subject><subject>NERVOUS SYSTEM</subject><subject>NUCLEAR MEDICINE</subject><subject>NUCLEI</subject><subject>ODD-EVEN NUCLEI</subject><subject>OSTEOMYELITIS</subject><subject>Osteomyelitis - diagnostic imaging</subject><subject>Osteomyelitis - etiology</subject><subject>PATHOLOGICAL CHANGES</subject><subject>PATIENTS</subject><subject>Pelvic Bones</subject><subject>PELVIS</subject><subject>Pressure Ulcer - diagnostic imaging</subject><subject>RADIOISOTOPE SCANNING</subject><subject>RADIOISOTOPES</subject><subject>RADIOLOGY</subject><subject>RADIOLOGY AND NUCLEAR MEDICINE</subject><subject>SCINTISCANNING</subject><subject>SKELETAL DISEASES</subject><subject>SPINAL CORD</subject><subject>Spinal Cord Injuries - complications</subject><subject>Technetium</subject><subject>TECHNETIUM 99</subject><subject>TECHNETIUM ISOTOPES</subject><subject>Technetium Tc 99m Medronate</subject><subject>TOMOGRAPHY</subject><subject>Tomography, X-Ray Computed</subject><subject>Traumas. Diseases due to physical agents</subject><subject>YEARS LIVING RADIOISOTOPES 550601 -- Medicine-- Unsealed Radionuclides in Diagnostics</subject><issn>0009-921X</issn><issn>1528-1132</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1983</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kF1r2zAUhsVoSdN0P2EgRtmdV33Zli5H2Eeh0JsWeicU6XhRsC1XkjfSX19lySIQQud936OjByFMyVdKVHtHyuJENhVVklNWblXZVH1AS1ozWVHK2QValpqqFKMvV-g6pd0hJGq2QIuGsVZwtUTP6zBMc4bo38DhHIbwO5ppu8ehwxP0f7zFIWUIwx56n33CfsSTyR7GnPBfn7c4TX40PbYhuiLu5ugh3aDLzvQJPp7OFXr-8f1p_at6ePx5v_72UFneNLkynWNcghKSUMda7jqpmBOCO8uIMDUAF8ANOFI33cY2cgNAupYrIaAYGF-hz8e-ZUavk_UZ7NaGcQSbddMKJcovV-jL0TTF8DpDynrwyULfmxHCnLQkbU1VfTDKo9HGkFKETk_RDybuNSX6gF3_x67P2PU_7CX66fTGvBnAnYMnzkW_PekmWdN30YzWp7NNCSaoZPwdmtKLGA</recordid><startdate>198312</startdate><enddate>198312</enddate><creator>FIROOZNIA, H</creator><creator>RAFII, M</creator><creator>GOLIMBU, C</creator><creator>SOKOLOW, J</creator><general>Springer</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>OTOTI</scope></search><sort><creationdate>198312</creationdate><title>Computerized tomography of pelvic osteomyelitis in patients with spinal cord injuries</title><author>FIROOZNIA, H ; RAFII, M ; GOLIMBU, C ; SOKOLOW, J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c366t-afd238e94801d273df892d443dc204a5ee34e3aed056fbc68bee0f73944e20423</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1983</creationdate><topic>550602 -- Medicine-- External Radiation in Diagnostics-- (1980-)</topic><topic>Abscess - diagnostic imaging</topic><topic>ABSCESSES</topic><topic>Adolescent</topic><topic>Adult</topic><topic>BETA DECAY RADIOISOTOPES</topic><topic>BETA-MINUS DECAY RADIOISOTOPES</topic><topic>Biological and medical sciences</topic><topic>BIOMEDICAL RADIOGRAPHY</topic><topic>Biopsy, Needle</topic><topic>BODY</topic><topic>BODY AREAS</topic><topic>CENTRAL NERVOUS SYSTEM</topic><topic>COMPARATIVE EVALUATIONS</topic><topic>COMPUTERIZED TOMOGRAPHY</topic><topic>COUNTING TECHNIQUES</topic><topic>DAYS LIVING RADIOISOTOPES</topic><topic>DIAGNOSIS</topic><topic>DIAGNOSTIC TECHNIQUES</topic><topic>Diphosphonates</topic><topic>DISEASES</topic><topic>ELECTRON CAPTURE RADIOISOTOPES</topic><topic>GALLIUM 67</topic><topic>GALLIUM ISOTOPES</topic><topic>Gallium Radioisotopes</topic><topic>HOURS LIVING RADIOISOTOPES</topic><topic>Humans</topic><topic>INJURIES</topic><topic>Injuries of the nervous system and the skull. Diseases due to physical agents</topic><topic>INTERMEDIATE MASS NUCLEI</topic><topic>ISOMERIC NUCLEI</topic><topic>ISOMERIC TRANSITION ISOTOPES</topic><topic>ISOTOPES</topic><topic>Medical sciences</topic><topic>MEDICINE</topic><topic>NERVOUS SYSTEM</topic><topic>NUCLEAR MEDICINE</topic><topic>NUCLEI</topic><topic>ODD-EVEN NUCLEI</topic><topic>OSTEOMYELITIS</topic><topic>Osteomyelitis - diagnostic imaging</topic><topic>Osteomyelitis - etiology</topic><topic>PATHOLOGICAL CHANGES</topic><topic>PATIENTS</topic><topic>Pelvic Bones</topic><topic>PELVIS</topic><topic>Pressure Ulcer - diagnostic imaging</topic><topic>RADIOISOTOPE SCANNING</topic><topic>RADIOISOTOPES</topic><topic>RADIOLOGY</topic><topic>RADIOLOGY AND NUCLEAR MEDICINE</topic><topic>SCINTISCANNING</topic><topic>SKELETAL DISEASES</topic><topic>SPINAL CORD</topic><topic>Spinal Cord Injuries - complications</topic><topic>Technetium</topic><topic>TECHNETIUM 99</topic><topic>TECHNETIUM ISOTOPES</topic><topic>Technetium Tc 99m Medronate</topic><topic>TOMOGRAPHY</topic><topic>Tomography, X-Ray Computed</topic><topic>Traumas. Diseases due to physical agents</topic><topic>YEARS LIVING RADIOISOTOPES 550601 -- Medicine-- Unsealed Radionuclides in Diagnostics</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>FIROOZNIA, H</creatorcontrib><creatorcontrib>RAFII, M</creatorcontrib><creatorcontrib>GOLIMBU, C</creatorcontrib><creatorcontrib>SOKOLOW, J</creatorcontrib><creatorcontrib>Univ. Hospital, New York, NY</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>OSTI.GOV</collection><jtitle>Clin. Orthop.; (United States)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>FIROOZNIA, H</au><au>RAFII, M</au><au>GOLIMBU, C</au><au>SOKOLOW, J</au><aucorp>Univ. Hospital, New York, NY</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Computerized tomography of pelvic osteomyelitis in patients with spinal cord injuries</atitle><jtitle>Clin. Orthop.; (United States)</jtitle><addtitle>Clin Orthop Relat Res</addtitle><date>1983-12</date><risdate>1983</risdate><volume>181</volume><issue>181</issue><spage>126</spage><epage>131</epage><pages>126-131</pages><issn>0009-921X</issn><eissn>1528-1132</eissn><coden>CORTBR</coden><abstract>Computerized tomography (CT) was performed in 19 patients with spinal cord injury (SCI) who had large pressure sores and in whom other complications were suspected. CT detected the depth, extent, and degree of undermining of the edges of the pressure sores in 19 of 27 lesions. Conventional radiography detected four cases of pelvic osteomyelitis. CT detected eight additional cases of pelvic osteomyelitis, as well as eight clinically unsuspected peripelvic and intrapelvic abscesses. Technetium-99m bone scanning was not very helpful because of localization in chronic proliferative changes of bone and widespread foci of myositis ossificans, as well as in osteomyelitis. Gallium-67 scanning detected only one of six abscesses. It was not very helpful because of confusion of abscess and osteomyelitis with intense soft tissue swelling and cellulitis, which are often associated with pressure sores in patients with chronic SCI. CT was found to be, by far, the modality of choice for detection of pelvic osteomyelitis and abscess in patients with SCI.</abstract><cop>Heidelberg</cop><pub>Springer</pub><pmid>6227439</pmid><doi>10.1097/00003086-198312000-00019</doi><tpages>6</tpages></addata></record> |
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| ispartof | Clin. Orthop.; (United States), 1983-12, Vol.181 (181), p.126-131 |
| issn | 0009-921X 1528-1132 |
| language | eng |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | 550602 -- Medicine-- External Radiation in Diagnostics-- (1980-) Abscess - diagnostic imaging ABSCESSES Adolescent Adult BETA DECAY RADIOISOTOPES BETA-MINUS DECAY RADIOISOTOPES Biological and medical sciences BIOMEDICAL RADIOGRAPHY Biopsy, Needle BODY BODY AREAS CENTRAL NERVOUS SYSTEM COMPARATIVE EVALUATIONS COMPUTERIZED TOMOGRAPHY COUNTING TECHNIQUES DAYS LIVING RADIOISOTOPES DIAGNOSIS DIAGNOSTIC TECHNIQUES Diphosphonates DISEASES ELECTRON CAPTURE RADIOISOTOPES GALLIUM 67 GALLIUM ISOTOPES Gallium Radioisotopes HOURS LIVING RADIOISOTOPES Humans INJURIES Injuries of the nervous system and the skull. Diseases due to physical agents INTERMEDIATE MASS NUCLEI ISOMERIC NUCLEI ISOMERIC TRANSITION ISOTOPES ISOTOPES Medical sciences MEDICINE NERVOUS SYSTEM NUCLEAR MEDICINE NUCLEI ODD-EVEN NUCLEI OSTEOMYELITIS Osteomyelitis - diagnostic imaging Osteomyelitis - etiology PATHOLOGICAL CHANGES PATIENTS Pelvic Bones PELVIS Pressure Ulcer - diagnostic imaging RADIOISOTOPE SCANNING RADIOISOTOPES RADIOLOGY RADIOLOGY AND NUCLEAR MEDICINE SCINTISCANNING SKELETAL DISEASES SPINAL CORD Spinal Cord Injuries - complications Technetium TECHNETIUM 99 TECHNETIUM ISOTOPES Technetium Tc 99m Medronate TOMOGRAPHY Tomography, X-Ray Computed Traumas. Diseases due to physical agents YEARS LIVING RADIOISOTOPES 550601 -- Medicine-- Unsealed Radionuclides in Diagnostics |
| title | Computerized tomography of pelvic osteomyelitis in patients with spinal cord injuries |
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