Michael P. D'Alessandro, M.D.
Peer Review Status: Internally Peer Reviewed
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.
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.
See References Chapter.
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