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Differential Diagnosis

“Degenerative Spondylitis”
  • Paola D’Aprile
  • Alfredo Tarantino
Chapter

Abstract

  • A 44-year-old male

  • Patient with persistent back pain that worsens with movement

  • Limitation of motion in the sagittal plane

  • No increase of the inflammatory markers

  • A 44-year-old male

  • Patient with persistent back pain that worsens with movement

  • Limitation of motion in the sagittal plane

  • No increase of the inflammatory markers

Fig. 1

Sagittal T1-weighted image (a), sagittal T2-weighted image with fat saturation (b), sagittal T1-weighted image with fat saturation after contrast medium administration (c). Signal changes in the opposing anterior corners at L1/L2, hypointense in T1, hyperintense in T2, with contrast enhancement, due to edema and vascularized fibrous tissue in the subchondral cancellous bone. There are associated anterior osteophytes; note the direction of the same osteophytes that extend in a horizontal direction. These lesions mimick a “rheumatic” spondylitis (i.e., spondyloarthritis), but the pathogenesis is degenerative (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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