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DOI: 10.1055/s-0042-1759482
Calcific Discitis Seems to be a Common Incidental Finding in Adults
Abstract
Calcific discitis seems to be a rare cause of back pain in adults. Imaging shows a calcification of the nucleus pulposus with extension through the endplates on computed tomography. This can be accompanied by bone marrow edema on magnetic resonance imaging. In a retrospective review of 150 patients, 4 cases of calcific discitis were found (2.8%). None of the patients reported about back pain. Therefore, it seems that symptomatic cases of calcific discitis are a rare occurrence in contrast to the quite frequent incidental finding of asymptomatic cases on imaging. Knowledge of the various imaging appearances of calcific discitis is necessary for radiologists, because especially in acute cases with substantial bone marrow edema, this benign entity may be confused with infectious spondylodiscitis or malignancy.
Publikationsverlauf
Artikel online veröffentlicht:
07. Dezember 2022
© 2022. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
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References
- 1 Schulze P, O'Connor C, Anand N, Wynne P. A rare cause of acute back pain in a young adult: case report and discussion of calcific discitis. J Radiol Case Rep 2020; 14 (10) 1-9
- 2 Iampreechakul P, Lertbutsayanukul P, Suanprasert N. Acute calcific discitis or symptomatic Schmorl's nodule of the upper thoracic spine in an adult: a case report and literature review. Asian J Neurosurg 2019; 14 (03) 1021-1029
- 3 Hershkovich O, Koch JEJ, Grevitt MP. Schmorl node- a cause of acute thoracic pain: a case report and pathophysiological mechanism. Int J Spine Surg 2020; 14 (03) 441-446
- 4 Shah A, Botchu R, Grainger MF, Davies AM, James SL. Acute symptomatic calcific discitis in adults: a case report and review of literature. Skeletal Radiol 2015; 44 (12) 1819-1824
- 5 Mittal P, Saggar K, Sandhu P, Gupta K. Case report: Acute calcific discitis with intravertebral disc herniation in the dorsolumbar spine. Indian J Radiol Imaging 2010; 20 (03) 205-207
- 6 Dussault RG, Kaye JJ. Intervertebral disk calcification associated with spine fusion. Radiology 1977; 125 (01) 57-61
- 7 Chanchairujira K, Chung CB, Kim JY. et al. Intervertebral disk calcification of the spine in an elderly population: radiographic prevalence, location, and distribution and correlation with spinal degeneration. Radiology 2004; 230 (02) 499-503