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Article Dans Une Revue Journal of Clinical Medicine Année : 2021

Interest of Follow-Up Radiological Imaging in Patients with Pyogenic Vertebral Osteomyelitis

Résumé

No recommendations are established for monitoring pyogenic vertebral osteomyelitis (PVO). Thus, the realization of systematic follow-up radiological imaging is controversial. The objective of this study was to evaluate the interest in follow-up radiological imaging in patients with PVO. We conducted a retrospective cohort analysis of patients with PVO who had both baseline and follow-up radiological imaging. We classified the follow-up images into two groups, improvement/stability, and deterioration, compared with the baseline data. For each patient, we compared their radiological imaging follow-up to their clinical-biological condition assessed at the same time. Eighty-six patients were included. The mean age was 68 years (±13). A total of 99 radiological imaging examinations at diagnosis and at follow-up were analyzed, 69 Magnetic Resonance Imaging (MRI), and 30 Computerized Tomography (CT scans). The mean delay between the follow-up radiological imaging and clinical evaluation was 2.8 +/− 2.1 months. Of the 36 patients with clinical and biological recovery, 24 patients (67%) had improved radiological imaging and 12 patients (34%) had radiological worsening (new abscesses (n = 4), extension of soft tissue infiltration (n = 2) and/or epiduritis (n = 2) or appearance of new locations (n = 1)). Among the 50 patients considered as unhealed, on the contrary, radiological imaging showed an improvement in imaging in 39 patients (78%) and a worsening in 11 patients (22%). Our study showed that there was no correlation between the clinical condition of patients and their follow-up radiological imaging in the context of PVO.
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Dates et versions

hal-03363912 , version 1 (05-06-2024)

Identifiants

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Sophie Hecquet, Frank Verhoeven, Sébastien Aubry, Clément Prati, Daniel Wendling, et al.. Interest of Follow-Up Radiological Imaging in Patients with Pyogenic Vertebral Osteomyelitis. Journal of Clinical Medicine, 2021, 10 (12), pp.2690. ⟨10.3390/jcm10122690⟩. ⟨hal-03363912⟩
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