Radiological and scintigraphic findings in patients with a clinical history of chronic inflammatory back pain

✍ Scribed by Henk Simon Goei The; Albert J. Lemmens; Gerard Goedhard; Henri Lokkerbol; Ali Rahmy; Malcolm M. Steven; Sjef M. Linden; Arnold Cats

• Publisher: Springer
• Year: 1985
• Tongue: English
• Weight: 626 KB
• Volume: 14
• Category: Article
• ISSN: 0364-2348
• DOI: 10.1007/bf00352613

✦ Synopsis

The prevalence of radiological abnormalities of the sacroiliac joints, the manubriosternal joint, and the lumbar spine were assessed, and quantitative sacroiliac scintigraphy was performed in 151 patients with a history of chronic inflammatory back pain and in 31 controls with non-inflammatory back pain. Sacroiliitis was found in 124 patients (82%), manubriosternal lesions in 84 patients (56%), and lesions of the lumbar spine in 58 patients (38%). In 19 patients (13%), manubriosternal lesions provided the sole radiological abnormality and in five patients (3 %) no radiological abnormality could be demonstrated at any of these sites. Quantitative sacroiliac scintigraphy showed increased values in 69 of 137 patients examined (50%), but also in 10 out of 12 control patients with disc degeneration (83%) and is, therefore, nonspecific for inflammatory lesions. Radiological examination of the manubriosternal joint is recommended in patients with inflammatory back pain without radiographic evidence of sacroiliitis.