オカザキ ケン   OKAZAKI Ken
  岡崎 賢
   所属   医学部 医学科(東京女子医科大学病院)
   職種   教授・基幹分野長
Article types Case report
Language English
Peer review Peer reviewed
Title Pyogenic arthritis of a lumbar facet joint.
Journal Formal name:American journal of orthopedics (Belle Mead, N.J.)
Abbreviation:Am J Orthop (Belle Mead NJ)
ISSN code:(1078-4519)1078-4519(Linking)
Domestic / ForeginForegin
Volume, Issue, Page 29(3),pp.222-224
Author and coauthor OKAZAKI K, SASAKI K, MATSUDA S, YUGE I, OMIYA K, KIDO H, UEDA H
Authorship Lead author
Publication date 2000/03
Summary We herein report the case of a 68-year-old man with diabetes who developed pyogenic arthritis of a lumbar facet joint after spinal injection. We performed magnetic resonance imaging (MRI), computed tomography (CT), technetium 99 methylene diphosphonate scintigraphy, and single photon emission computed tomography (SPECT) for this patient. MRI showed a lesion in the facet joint and no evidence of spondylodiscitis. CT showed a swelling of periarticular soft tissue around the facet joint. Bone scintigraphy showed a characteristic vertical uptake. In particular, SPECT was able to clearly confirm the location of the infection. An infection of the facet joint has only been rarely reported, but we recommended that this area should be carefully evaluated whenever a patient develops an infection of the lumbar spine after a spinal injection.
PMID 10746474