medigraphic.com
ISSN 2007-8560 (Print)
Órgano Oficial de Difusión Científica de la Federación Mexicana de Colegios de Ortopedia y Traumatología, A.C. (FEMECOT)

2013, Number 3

<< Back Next >>

Ortho-tips 2013; 9 (3)

What is vertebral destruction syndrome?

Jiménez ÁJM, del Toro AJM, Victoria BCJ, Guerrero OM

Language: Spanish
References: 37
Page: 152-162
PDF size: 229.03 Kb.


ABSTRACT

A precise diagnosis should be based on an objective and effective methodology, which should begin with the elaboration of a) topographic diagnosis, check out a b) differential syndromatic to reach a c) etiological diagnosis, without forgetting that medicine is not an exact science, by what we must never ignore that we have to make a last d) differential diagnosis. The pathology of the column cannot be the exception to this rule, so it should remember, have a critical and ordered thinking. This can be done using a diagnostic strategy in which is called «vertebral bone destruction syndrome». This is defined as a pathology of multiple etiology, characterized by changes in the anatomy of the spine, specifically with deformity and surrounding volume in one or more vertebral bodies, is accompanied by pain and functional disability by mechanical and neurological alterations, considering as possible causes, to the infectious, tumors and metabolic pathologies. These pathologies has common characteristics among themselves; however, for the identification of the syndrome it is necessary to consider the singularities that these morbidities share, in order to carry out a process that enables the systematization in addressing; this way could optimize the time between the identification of the pathology and the initiation of treatment with, in addition to the detection of more sensitive and specific for each nosological entity studies knowing its positive predictive value.


REFERENCES

  1. Danish SF, Zager EL. Cervical spine meningioma presenting as otalgia: case report. Neurosurgery. 2005; 56: 621.

  2. Montinario A, Cantisani P, Punzu F, et al. Cauda equina melanoma presenting with subarchnoid hemorrhage. A case report. J Neurosurg Sci. 2004; 48: 139-141.

  3. Alpízar- Aguirre A, Elías-Escobedo A, Rosales-Olivares LM, Miramontes-Martínez V, Reyes-Sánchez A. Síndrome de destrucción vertebral, sistemas de evaluación en su diagnóstico. Cir Cir. 2008; 76 (3): 205-211.

  4. Rosales-Olivares LM, Valle-Cerna I, Alpízar-Aguirre A, Miramontes-Martínez V, Arenas-Sordo Mde L, Reyes-Sánchez A. Percutaneos biopsy evaluation in the diagnosis of thoracic and lumbar vertebral destruction syndrome. Cir Cir. 2007; 75 (6): 459-463.

  5. Alpízar AA, Rosales OLM, Sánchez BG, Zárate KB, Escutia GJG, Reyes SA. Evaluación de una nueva sistematización de estudios para el diagnóstico de síndrome de destrucción vertebral. Columna/Columna. 2012; 11 (2): 151-155.

  6. Dormans JP, Moroz BAL, Infection and tumors of the spine in children. JBJS. 2007; 89: 79-97.

  7. Seimionow K, Steinmetz M, Bell G, et al Identifying serious causes of back pain. Cleveland Clinic Journal of Medicine. 2008; 75 (8): 557-565.

  8. González NLA, Molina RJF. Evaluación de la inflamación en el laboratorio. Revista Colombiana de Reumatología. 2012; 17 (1): 35-47.

  9. Blázquez GD, González TMI, Rojo CP, González GI, López V, Ruiz CJ. Discitis o espondilodiscitis, Protocolos diagnóstico-terapéuticos de la AEP. Infectología Pediátrica. 2011: 9-12.

  10. Tay BKB, Deckey J, Hu SS. Spinal infections. Journal of the American Academy of Orthopedic Surgeons. 2002; 10: 188-197.

  11. Wellington H, Thomas MH. Radionucilde imaging in the diagnosis and managment of orthopaedic disease. Journal of the American Academy of Orthopedic Surgeons. 2012; 20: 151-159.

  12. Pineda C, Espinoza R, Peña A. Radiographic imaging in osteomyelitis: the role of plain radiography, computed tomography, ultrasonography, magnetic resonance imaging, scintigraphy. Seminars in Plastic Surgery. 2009; 23 (2): 80-89.

  13. Rankine JJ, Barron DA, Robinson P, Milner PA. Therapeutic impact of percutaneous spinal biopsy in spinal infection, Department of clinical radiology St James University Hospital. Postgrade Medical Journal. 2004; 80: 607-609.

  14. Mohammad R R, Mirkoohi M, Vaccaro AR, Yarandi KK, Rahimi-Movaghar V: Spinal tuberculosis: Diagnosis and management. Asian Spine J. 2012; 6 (4): 294-308.

  15. Desai SS. Early diagnosis of spinal tuberculosis by MRI. J Bone Joint Surg Br. 1994; 76 (6): 863-869.

  16. Pertuiset E, Beaudreuil J, Lioté F, Horusitzky A, Kemiche F, Richette P, Clerc-Wyel D. Spinal tuberculosis in adults. A study of 103 cases in a development country, 1980-1994. Medicine.1999; 78 (5): 309-320.

  17. Gómez ELN, Larruz QJ. Infecciones de la columna vertebral en el adulto. Rev Mex Ortop Traum. 2000; 14 (4): 321-327.

  18. Gupta RK, Agarwal P, Rastogi H, Kumar S, Phadke RV, Krishnani N. Problems in distinguishing spinal tuberculosis from neoplasia on MRI. Euroradiology. 1996; 38 Suppl 1: 97-104.

  19. De Luca S, Mondello E, Oviedo S, Tisser L, Eyheremendy EP, Rica C. Espondilodiscitis por Candida albicans. Revista Argentina de Radiología. 2008; (1): 23-25.

  20. Lado FL, Villamil CI, Rodríguez CI, Van den Eyden E. Espondilodiscitis por Candida albicans. Aportación de dos nuevos casos. An Med Interna. 2005; 22 (2): 76-78.

  21. Santo J: Tratamiento quirúrgico de las metástasis vertebrales, Actualidad en Traumatología, Tendencias. 2006: 1-4.

  22. Gabayo AJ, Villafranca E, de Blas A, Tejero A, Eslava E. Enfermedad metastásica ósea. Diagnóstico y tratamiento. An Sist Sanit Navar. 2004; 27 (Supl 3): 137-153.

  23. Gebauer GP, Payam F, Sciubba DM, Ziya L, Gokaslan L, Lee H. Magnetic resonance imaging of spine tumors: classification, differential diagnosis, and spectrum of disease. J Bone Joint Surg Am. 2008; 90 (Suppl 4): 146-162.

  24. Jong Won Kwon, Hye Won Chung, Eun Yoon Cho, Eung Hwan Hong, Sang-Hee Choi, Young Cheol Yoon, Sang Kyu Yi: MRI Findings of Giant Cell Tumors of the Spine. American Journal Radiology. 2007; 189: 246-250.

  25. Wendy R, Smoker KWR, Oderskyi JC, Knutzo RK, Keyes WD, Bergman DNW. The role of MR imaging in evaluating metastatic spinal disease. American Journal Radiology. 1987; 149: 1241-1248.

  26. Stanford RS, Bassett LW, Mancuso AA, Mirra JM, Dawson EG. Stanford R. Giant cell tumor of the cervicothoracic spine. American Journal Radiology. 1981; 136: 63-67.

  27. Hanrahan CJ, Lubdha MS. MRI of spinal bone marrow: Part 2, T1-Weighted Imaging-Based Differential Diagnosis. American Journal Radiology. 2011; 197: 1309-1321.

  28. Holgado PS, Sallés LM, Olivé MA. Enfermedad ósea de Paget. Med Clin. 2008; 131(13): 509-512.

  29. Schreiber JJ, Anderson PA, Rosas HG, Buchholz AL, Au A G. Hounsfield units for assessing bone mineral density and strength: A tool for osteoporosis management. Investigation performed at the department of orthopedics and rehabilitation, University of Wisconsin, Madison, Wisconsin. J Bone Joint Surg Am. 2011; 93: 1057-1063.

  30. Theodorou DJ, Theodorou SJ, Kakitsubata Y. Imaging of Paget disease of bone and its musculoskeletal complications: Review. American Journal Radiology. 2011; 196 (Supl. 6): 564-75.

  31. Lorente-Ramos R, Azpeitia-Armán J, Muñoz-Hernández A, García-Gómez J M, Díez-Martínez P, Grande-Bárez M: Dual-Energy X-Ray absorptiometry in the diagnosis of osteoporosis: a practical guide. American Journal Radiology. 2011; 196: 897-904.

  32. Jang JS Lee SH, Min JH, Maeng DH. Changes in the sagital aligment after restoration of lower lumbar lordosis in patients with degenerative flatback syndrome. Journal of Neurosurgery: Spine. 2007; 7(4): 387-392.

  33. Algra PR, Bloem JL, Tissing H, Falke TH, Arndt JW, Verboom LJ. Detection of vertebral metastases: comparison between MR imaging and bone scintigraphy. Radiographics. 1991; 11: 219-232.

  34. Vialle R, Levasar N, Rillardan L, Templier A, Skalli W, Guigui P. Radiographic Analysis of the saguittal alignment and balance of the spine in asymptomatic subjects. The Journal of Bone and Joint Surgery. 2005; 260-267.

  35. Matta IJ, Torres RF, Carmona LC. Infecciones hematógenas de la columna vertebral: manejo quirúrgico. Revista Colombiana de Ortopedia y Traumatología; 2008; 22(2): 122-129.

  36. Gómez ENL, Larruz QJ. Infección de la columna vertebral en el adulto, 2000; 14: 321-327.

  37. Gabauer G, Farjoadi P, Scrubba M, Gokoslan Z, Riley L, Wassermm B, et al, Magnetic resonance imaging of spine tumor: classification, differential diagnosis and spectrum of disease. The Journal of Bone and Joint Surgery. 2008; 90 (Supl. 4): 146-62.




2020     |     www.medigraphic.com