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Differential Diagnosis

Osteochondrosis Mimicking Spondylitis
  • Paola D’Aprile
  • Alfredo Tarantino
Chapter

Abstract

  • A 59-year-old woman

  • Patient with chronic back pain

  • No increase of the inflammatory markers

  • A 59-year-old woman

  • Patient with chronic back pain

  • No increase of the inflammatory markers

Fig. 1

Sagittal T1-weighted image (a), sagittal T2-weighted image with fat saturation (b). The opposing D11-D12-L1 vertebral bodies (arrows) show changes of the bone marrow in their anterior corners, with T1-hypo-/hyperintensity (a) and T2-hyperintensity (b). These findings indicate vascularized fibrous tissue, with edema, and initial fatty marrow replacement in the abovementioned areas (types 1–2 according to Modic). The pathogenesis of these lesions is not infectious but mechanical. The edematous pattern indicates a sort of “degenerative spondylitis”

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Paola D’Aprile
    • 1
  • Alfredo Tarantino
    • 1
  1. 1.Radiology - Neuroradiology SectionSan Paolo HospitalBariItaly

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