Associated neurologic deficits have been reported in 21% to 100% of patients, and other complications reported in 84% of patients [32]. The diagnosis can be delayed in 15% to 41% of cases, and therefore, clinical suspicion for fracture must be elevated in the appropriate setting given the severity of these injuries. Many patients undergo surgical fixation of these injuries, although unfavorable outcomes with relatively high morbidity and mortality are reported [32,35]. Early use of advanced imaging modalities is crucial in these patients to facilitate a timely diagnosis. OR Discussion of Procedures by Variant Variant 1: Inflammatory back pain. Suspected axial spondyloarthritis. Initial imaging. The body regions covered in this clinical scenario are the sacroiliac joints, cervical, thoracic, and lumbar spine. These body regions might be evaluated separately or in combination as guided by physical examination findings, patient history, and other available information. Bone Scan with SPECT or SPECT/CT Sacroiliac Joints Bone scintigraphy with single-photon emission computed tomography (SPECT) or SPECT/CT is not routinely obtained as the initial imaging modality in the evaluation of suspected axSpA, and there is no relevant literature supporting its use in this setting. Bone Scan with SPECT or SPECT/CT Spine Area of Interest Bone scintigraphy with SPECT or SPECT/CT is not routinely obtained as the initial imaging modality in the evaluation of suspected axSpA, and there is no relevant literature supporting its use in this setting. CT Sacroiliac Joints CT is not routinely obtained as the initial imaging modality in the evaluation of suspected axSpA, and there is no relevant literature supporting its use in this setting. Inflammatory Back Pain CT Spine Area of Interest CT is not routinely obtained as the initial imaging modality in the evaluation of suspected axSpA, and there is no relevant literature supporting its use in this setting.
Inflammatory Back Pain Known or Suspected Axial Spondyloarthropathy PCAs. Associated neurologic deficits have been reported in 21% to 100% of patients, and other complications reported in 84% of patients [32]. The diagnosis can be delayed in 15% to 41% of cases, and therefore, clinical suspicion for fracture must be elevated in the appropriate setting given the severity of these injuries. Many patients undergo surgical fixation of these injuries, although unfavorable outcomes with relatively high morbidity and mortality are reported [32,35]. Early use of advanced imaging modalities is crucial in these patients to facilitate a timely diagnosis. OR Discussion of Procedures by Variant Variant 1: Inflammatory back pain. Suspected axial spondyloarthritis. Initial imaging. The body regions covered in this clinical scenario are the sacroiliac joints, cervical, thoracic, and lumbar spine. These body regions might be evaluated separately or in combination as guided by physical examination findings, patient history, and other available information. Bone Scan with SPECT or SPECT/CT Sacroiliac Joints Bone scintigraphy with single-photon emission computed tomography (SPECT) or SPECT/CT is not routinely obtained as the initial imaging modality in the evaluation of suspected axSpA, and there is no relevant literature supporting its use in this setting. Bone Scan with SPECT or SPECT/CT Spine Area of Interest Bone scintigraphy with SPECT or SPECT/CT is not routinely obtained as the initial imaging modality in the evaluation of suspected axSpA, and there is no relevant literature supporting its use in this setting. CT Sacroiliac Joints CT is not routinely obtained as the initial imaging modality in the evaluation of suspected axSpA, and there is no relevant literature supporting its use in this setting. Inflammatory Back Pain CT Spine Area of Interest CT is not routinely obtained as the initial imaging modality in the evaluation of suspected axSpA, and there is no relevant literature supporting its use in this setting.