Abstract
We report a case of pyogenic spondylitis of diffuse lumbar spine vith involvement of the posterior element. The patient was a 74-year-old female who had severe pain around the lower back, which occurred following urologic disease with diabetes mellitus. MRI findings showed the abnormal signal intensity in L2, L3, L5 vertebral body and L3, L4 spinous process. Although we suspected metastatic disease, we could not eliminate the need for biopsy, which revealed the diagnosis as osteomyelitis. Even if MRI findings showed metastatic disease, clinical course and laboratory studies should be evaluated and diagnostic biopsy should be considered as a diagnostic possibility.
