Spondylodiscitis in patients with spinal cord compression: A possible pitfall in radiation oncology

Dirk Rades; Michael Bremer; Susanne Goehde; Maik Joergensen; Johann Hinrich Karstens

doi:10.1016/S0167-8140(00)00300-5

Spondylodiscitis in patients with spinal cord compression: A possible pitfall in radiation oncology

Dirk Rades^*, Michael Bremer, Susanne Goehde, Maik Joergensen, Johann Hinrich Karstens

^*Corresponding author for this work

Clinic of Radiotherapy

Hannover Medical School

13 Citations (Scopus)

Abstract

Purpose: In patients presented for spinal irradiation it may be difficult to distinguish between malignant and benign lesions if only plain X-rays and computed tomography (CT)-scans are available. Spinal magnetic resonance imaging (MRI) can be of great diagnostic value. Methods: From 11/1995 to 05/2000 447 patients were presented for spinal irradiation, 264 beyond regular operating hours. At presentation no spinal MRI was available in 170/447 and 132/264 patients. Results: After spinal MRI, diagnosis was changed from vertebral metastases to spondylodiscitis in 10/170 and 8/132 patients. Six of these patients were already known as cancer patients. Conclusion: In patients presented for spinal irradiation spondylodiscitis is not very uncommon. If there is any doubt about metastatic disease as the cause for spinal cord compression a spinal MRI has to be demanded, even beyond regular operating hours.

Original language	English
Journal	Radiotherapy and Oncology
Volume	59
Issue number	3
Pages (from-to)	307-309
Number of pages	3
ISSN	0167-8140
DOIs	https://doi.org/10.1016/S0167-8140(00)00300-5
Publication status	Published - 01.06.2001

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title = "Spondylodiscitis in patients with spinal cord compression: A possible pitfall in radiation oncology",

abstract = "Purpose: In patients presented for spinal irradiation it may be difficult to distinguish between malignant and benign lesions if only plain X-rays and computed tomography (CT)-scans are available. Spinal magnetic resonance imaging (MRI) can be of great diagnostic value. Methods: From 11/1995 to 05/2000 447 patients were presented for spinal irradiation, 264 beyond regular operating hours. At presentation no spinal MRI was available in 170/447 and 132/264 patients. Results: After spinal MRI, diagnosis was changed from vertebral metastases to spondylodiscitis in 10/170 and 8/132 patients. Six of these patients were already known as cancer patients. Conclusion: In patients presented for spinal irradiation spondylodiscitis is not very uncommon. If there is any doubt about metastatic disease as the cause for spinal cord compression a spinal MRI has to be demanded, even beyond regular operating hours.",

author = "Dirk Rades and Michael Bremer and Susanne Goehde and Maik Joergensen and Karstens, {Johann Hinrich}",

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T1 - Spondylodiscitis in patients with spinal cord compression: A possible pitfall in radiation oncology

AU - Rades, Dirk

AU - Bremer, Michael

AU - Goehde, Susanne

AU - Joergensen, Maik

AU - Karstens, Johann Hinrich

PY - 2001/6/1

Y1 - 2001/6/1

N2 - Purpose: In patients presented for spinal irradiation it may be difficult to distinguish between malignant and benign lesions if only plain X-rays and computed tomography (CT)-scans are available. Spinal magnetic resonance imaging (MRI) can be of great diagnostic value. Methods: From 11/1995 to 05/2000 447 patients were presented for spinal irradiation, 264 beyond regular operating hours. At presentation no spinal MRI was available in 170/447 and 132/264 patients. Results: After spinal MRI, diagnosis was changed from vertebral metastases to spondylodiscitis in 10/170 and 8/132 patients. Six of these patients were already known as cancer patients. Conclusion: In patients presented for spinal irradiation spondylodiscitis is not very uncommon. If there is any doubt about metastatic disease as the cause for spinal cord compression a spinal MRI has to be demanded, even beyond regular operating hours.

AB - Purpose: In patients presented for spinal irradiation it may be difficult to distinguish between malignant and benign lesions if only plain X-rays and computed tomography (CT)-scans are available. Spinal magnetic resonance imaging (MRI) can be of great diagnostic value. Methods: From 11/1995 to 05/2000 447 patients were presented for spinal irradiation, 264 beyond regular operating hours. At presentation no spinal MRI was available in 170/447 and 132/264 patients. Results: After spinal MRI, diagnosis was changed from vertebral metastases to spondylodiscitis in 10/170 and 8/132 patients. Six of these patients were already known as cancer patients. Conclusion: In patients presented for spinal irradiation spondylodiscitis is not very uncommon. If there is any doubt about metastatic disease as the cause for spinal cord compression a spinal MRI has to be demanded, even beyond regular operating hours.

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Spondylodiscitis in patients with spinal cord compression: A possible pitfall in radiation oncology

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