Three cases of discitis in early childhood presented with acute refusal to walk or change in gait pattern without neurologic deficits. In all three, a Gowers' sign was observed, although none had muscular weakness. The diagnosis of discitis was confirmed by the characteristic radiographic findings on survey lumbosacral films and/or by a hot spot at the L3 level on technetium bone scan.
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References
1.
Norris S., Ehrlich MG, Keim DE, et al. Early diagnosis of disc space infection using gallium 67. J Nucl Med1978; 19:384-6.
2.
Wenger DR, Bobechko WP, Gilday DLThe spectrum of intervertebral disc-space infection in children. J Bone Joint Surg1978;60A:100-8.
3.
Fischer GW, Popich GA, Sullivan DE, et al. Discitis: a perspective diagnostic analysis. Pediatrics1978;62:543-8.
4.
Mayer L.An unusual case of infection of the spine. J Bone Joint Surg1925;7:957-63.
5.
Rocco HD, Eyring EJIntervertebral disc infections in children, Am J Dis Child1972; 123:448-51.
6.
Menalaus MBAn infection affecting the intervertebral discs in children. J Bone Joint Surg1964;46B:16-23.
7.
Doyle JRNarrowing of the intervertebral disc space in children. J Bone Joint Surg1960;42A:1191-200.
8.
Alexander CJThe aetiology of juvenile spondylarthritis (discitis) . Clin Radiol1970;21:178-87.
9.
Wiley AM, Trueta J.The vascular anatomy of the spine and its relationship to pyogenic vertebral osteomyelitis. J Bone Joint Surg1959;41B:796-809.
10.
De Souza LJDisc space infection in children, late adolescents and adults. Minn Med1980;64:314-20.
11.
Swischuk LESpine and spinal cord trauma in the battered child syndrome. Radiology1965;92:733-8.