12 patients were diagnosed as suffering from spondylodiscitis by means
of clinical and laboratory investigations. Magnetic resonance tomogra
phy (MRT) and bone scintigraphy (with Tc 99m-diphosphonate) were perfo
rmed and 6 patients had further MRT follow up investigations. In the i
nitial state of disease the comparison of MRT and bone scan both revea
led a sensitivity of 92 %. The specifity was 83 % for MRT and 50 % for
bone scintigraphy, respectively. Therefore we conclude MRT is a more
specific diagnostic tool in patients with spondylodiscitis. 6 patients
were followed up with additional 13 MRT scans. During the first two m
onths of treatment periode in most of the patients more distinct patho
logical findings were seen in MRT in comparison with MRT at the start.
No signs of any improvement de spite effective treatment were found i
n the first three months of therapy.