Evaluation of bone scintigraphy in patients with spinal diseases.

DOI Open Access
  • Imasato Hiroshi
    Department of Orthopaedic Surgery, Kurume University School of Medicine
  • Nagata Kensei
    Department of Orthopaedic Surgery, Kurume University School of Medicine
  • Takamatsu Toru
    Department of Orthopaedic Surgery, Kurume University School of Medicine
  • Takagi Hisao
    Department of Orthopaedic Surgery, Kurume University School of Medicine
  • Ohashi Teruaki
    Department of Orthopaedic Surgery, Kurume University School of Medicine
  • Nohno Seiji
    Department of Orthopaedic Surgery, Kurume University School of Medicine
  • Sato Naoto
    Department of Orthopaedic Surgery, Kurume University School of Medicine
  • Endo Toshiya
    Department of Orthopaedic Surgery, Kurume University School of Medicine
  • Akio Inoue
    Department of Orthopaedic Surgery, Kurume University School of Medicine

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Other Title
  • 脊椎疾患における骨シンチグラフィーの検討

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Description

The bone scintigram and the X-ray findings of metastatic bone tumors of the spine (31 cases) were compared with those of other diseases of the spine which have to be differentiated from them; such as compression fracture (20 cases), spondylosis deformans (14 cases), pyogenic spondylitis (10 cases), tuberculous spondylitis (10 cases), and following results were obtained;<br>1. The characteristic pattern of the scintigram of the metastatic bone tumors of the spine is asymmetric abnormal concentration with multiple lesions and multilevel distribution.<br>2. Compression fracture of the spine showed symmetric concentration, and not continuously when the lesions are multiple.<br>3. Spondylosis deformans included some asymmetric cases, so diagnostication should be careful.<br>4. Pyogenic spondylitis and tuberculous spondylitis tend to concentrate symmetrically on adjoining two vertebral bodies.

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