PMC10438467_01
Magnetic resonance imaging of the lumbar spine (pre-treatment) (March 8, 2021). Sagittal STIR (a) and axial T2 (b) images showing bone edema in the vertebral bodies of T12 and L1 associated with irregularity of the vertebral endplate (white arrow) and lateral and anterior paravertebral involvement from T10 to L2 with involvement of the psoas muscles (red arrows).
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T12 and L1 vertebral bodies associated with irregularity of the vertebral endplate with involvement of the psoas muscles, compatible with T12-L1 spondylodiscitis associated with psoitis (Figure 1). Two sets of blood cultures obtained after the MRI showed negative results.
Magnetic resonance imaging of the lumbar spine 18 months after the end of antimicrobial treatment. (a) Sagittal STIR and (b) sagittal T2 images. Note the resolution of the bone edema in the vertebral endplate and the absence of intervertebral or paravertebral fluid (white arrows). Signs are compatible with spondylodiscitis cure.
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MRI of the lumbar spine revealed healing of the spondylodiscitis (Figure 2).
The curve of C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR) values during clinical follow-up.
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Figure 3 presents the trends in inflammatory markers (ESR and CRP) throughout the clinical follow-up period.