Devoted to diagnostic and interventional spine imaging and therapeutics


Manifestations of Metabolic Disease within the Intervertebral Disk Space 2012

General Spine

Roi, M, Bittane, MD
Joseph, Mazzie, DO, Non ASSR Member
Michael, Brooks, MD, Non ASSR Member
Stacy, Smith, MD, Non ASSR Member
A.Orlando, Ortiz, MD, MBA,FACR, Non ASSR Member



To provide a pictorial review of the effects of different metabolic diseases on the intervertebral disk space

Methods & Materials

The imaging examinations (plain radiographs, computed tomography and/or magnetic resonance imaging) of patients presenting with intervertebral disk pathology were correlated with the subsequent clinical work-up, including biopsy. The imaging findings were reviewed by experienced neuroradiologists and musculoskeletal radiologists.


The imaging manifestations associated with metabolic disk disease are reviewed in entities such as gout, ochronosis, ankylosing spondylities, spondyloarthropathy of hemodialysis and others.


Intervertebral disk disease as seen on multiple modality imaging is not soley due to degenerative or infectious etiologies. These other entities, albeit, less common may present with diskogenic manifestations.

References/Financial Disclosures

Wagner SC, Schweitzer ME, Morrison WB, Przybylski GJ, Parker L. Can imaging findings help differentiate spinal neuropathic arthropathy from disc space infection? Initial experience. Radiology 2000 ; 214:693 -699 Financial Disclosure: AO Ortiz: Speakers Bureau - Medtronic Spine, Orthovita Spine