Additional pediatric resources: GeneralPediatrics.com | PediatricEducation.org | SearchingPediatrics.com
Michael P. D'Alessandro, M.D.
Peer Review Status: Internally Peer Reviewed
Etiology/Pathophysiology:
Nidus of infection is in a vertebral body with spread up and down the
vertebral column via paraspinal ligaments. Compromises intervening
discs by direct invasion. Lower thoracic / upper lumbar spine are
most common areas. Scoliosis and kyphosis are frequent complications.
Pathology:
Not applicable
Imaging Findings:
Paraspinal abscesses are common and may calcify. Ninety percent of
patients have at least two vertebral bodies involved. Infection is
limited to the vertebral body and its posterior elements are spared.
Paravertebral soft tissue masses, vertebral body destruction, and
loss of disc spaces are seen.
DDX:
References:
See References Chapter.
Additional pediatric resources: GeneralPediatrics.com | PediatricEducation.org | SearchingPediatrics.com
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