Calcific discitis in children: Vertebral body involvement (possible insight into etiology)

Leonard E. Swischuk, Michael Jubang, Siddharth P. Jadhav

Research output: Contribution to journalArticle

23 Citations (Scopus)

Abstract

The aim of the study was to present our cases of calcific discitis, analyze the imaging findings, and review the literature in an attempt to formulate a possible etiology. We reviewed the imaging and clinical findings in nine patients with calcific discitis and accomplished a literature review of the condition. There were nine patients, five males and four females. Age range was 5-13 years with a mean of 9.7 years. Twenty-three discs were involved, nine cervical and fourteen thoracic. Four cervical discs were not calcified but merely swollen. One patient presented with abnormal magnetic resonance (MR) signal changes within a vertebral body. Our literature search revealed another such patient and brought up the possibility that the insult to the disc might be secondary to vertebral body involvement and disruption of the tenuous vascular/nutritional support of the intervertebral disc from the adjacent vertebral body. In the early stages of calcific discitis, only swelling and expansion of the disc are seen. More recently, with MR imaging, vertebral body involvement has been demonstrated to also occur. As a result, it may be that the initial insult (vascular compromise) is to the vertebral body (nutritional support for the disc) rather than to the disc.

Original languageEnglish (US)
Pages (from-to)427-430
Number of pages4
JournalEmergency Radiology
Volume15
Issue number6
DOIs
StatePublished - Nov 2008

Fingerprint

Discitis
Nutritional Support
Blood Vessels
Intervertebral Disc
Magnetic Resonance Spectroscopy
Thorax
Magnetic Resonance Imaging

Keywords

  • Calcific
  • Children
  • Discitis

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Emergency Medicine

Cite this

Calcific discitis in children : Vertebral body involvement (possible insight into etiology). / Swischuk, Leonard E.; Jubang, Michael; Jadhav, Siddharth P.

In: Emergency Radiology, Vol. 15, No. 6, 11.2008, p. 427-430.

Research output: Contribution to journalArticle

Swischuk, Leonard E. ; Jubang, Michael ; Jadhav, Siddharth P. / Calcific discitis in children : Vertebral body involvement (possible insight into etiology). In: Emergency Radiology. 2008 ; Vol. 15, No. 6. pp. 427-430.
@article{bdb918bcb0324b42aa3e2356d74365d0,
title = "Calcific discitis in children: Vertebral body involvement (possible insight into etiology)",
abstract = "The aim of the study was to present our cases of calcific discitis, analyze the imaging findings, and review the literature in an attempt to formulate a possible etiology. We reviewed the imaging and clinical findings in nine patients with calcific discitis and accomplished a literature review of the condition. There were nine patients, five males and four females. Age range was 5-13 years with a mean of 9.7 years. Twenty-three discs were involved, nine cervical and fourteen thoracic. Four cervical discs were not calcified but merely swollen. One patient presented with abnormal magnetic resonance (MR) signal changes within a vertebral body. Our literature search revealed another such patient and brought up the possibility that the insult to the disc might be secondary to vertebral body involvement and disruption of the tenuous vascular/nutritional support of the intervertebral disc from the adjacent vertebral body. In the early stages of calcific discitis, only swelling and expansion of the disc are seen. More recently, with MR imaging, vertebral body involvement has been demonstrated to also occur. As a result, it may be that the initial insult (vascular compromise) is to the vertebral body (nutritional support for the disc) rather than to the disc.",
keywords = "Calcific, Children, Discitis",
author = "Swischuk, {Leonard E.} and Michael Jubang and Jadhav, {Siddharth P.}",
year = "2008",
month = "11",
doi = "10.1007/s10140-008-0739-9",
language = "English (US)",
volume = "15",
pages = "427--430",
journal = "Emergency Radiology",
issn = "1070-3004",
publisher = "Springer New York",
number = "6",

}

TY - JOUR

T1 - Calcific discitis in children

T2 - Vertebral body involvement (possible insight into etiology)

AU - Swischuk, Leonard E.

AU - Jubang, Michael

AU - Jadhav, Siddharth P.

PY - 2008/11

Y1 - 2008/11

N2 - The aim of the study was to present our cases of calcific discitis, analyze the imaging findings, and review the literature in an attempt to formulate a possible etiology. We reviewed the imaging and clinical findings in nine patients with calcific discitis and accomplished a literature review of the condition. There were nine patients, five males and four females. Age range was 5-13 years with a mean of 9.7 years. Twenty-three discs were involved, nine cervical and fourteen thoracic. Four cervical discs were not calcified but merely swollen. One patient presented with abnormal magnetic resonance (MR) signal changes within a vertebral body. Our literature search revealed another such patient and brought up the possibility that the insult to the disc might be secondary to vertebral body involvement and disruption of the tenuous vascular/nutritional support of the intervertebral disc from the adjacent vertebral body. In the early stages of calcific discitis, only swelling and expansion of the disc are seen. More recently, with MR imaging, vertebral body involvement has been demonstrated to also occur. As a result, it may be that the initial insult (vascular compromise) is to the vertebral body (nutritional support for the disc) rather than to the disc.

AB - The aim of the study was to present our cases of calcific discitis, analyze the imaging findings, and review the literature in an attempt to formulate a possible etiology. We reviewed the imaging and clinical findings in nine patients with calcific discitis and accomplished a literature review of the condition. There were nine patients, five males and four females. Age range was 5-13 years with a mean of 9.7 years. Twenty-three discs were involved, nine cervical and fourteen thoracic. Four cervical discs were not calcified but merely swollen. One patient presented with abnormal magnetic resonance (MR) signal changes within a vertebral body. Our literature search revealed another such patient and brought up the possibility that the insult to the disc might be secondary to vertebral body involvement and disruption of the tenuous vascular/nutritional support of the intervertebral disc from the adjacent vertebral body. In the early stages of calcific discitis, only swelling and expansion of the disc are seen. More recently, with MR imaging, vertebral body involvement has been demonstrated to also occur. As a result, it may be that the initial insult (vascular compromise) is to the vertebral body (nutritional support for the disc) rather than to the disc.

KW - Calcific

KW - Children

KW - Discitis

UR - http://www.scopus.com/inward/record.url?scp=53549101291&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=53549101291&partnerID=8YFLogxK

U2 - 10.1007/s10140-008-0739-9

DO - 10.1007/s10140-008-0739-9

M3 - Article

C2 - 18607651

AN - SCOPUS:53549101291

VL - 15

SP - 427

EP - 430

JO - Emergency Radiology

JF - Emergency Radiology

SN - 1070-3004

IS - 6

ER -