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A 7-year-old boy has had low back pain for the past 3 weeks. Radiographs reveal apparent disk space narrowing at L4-5. The patient is afebrile. Laboratory studies show a WBC count of 9,000/mmP3P and a C-reactive protein level of 10 mg/L. A lumbar MRI scan confirms the loss of disk height at L4-5 and reveals a small perivertebral abscess at that level. To achieve the most rapid improvement and to lessen the chances of recurrence, management should consist of
surgical drainage of the perivertebral abscess and IV antibiotics.
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In pediatric discitis, which of the following is the most accurate description of the radiographic findings.
The earliest radiographic finding is loss of normal lumbar lordosis, followed by disc space narrowing and endplate erosion.
The earliest radiographic finding is disc space narrowing, followed by endplate erosion and loss or normal lumbar lordosis.
The earliest radiographic finding is endplate erosion, followed by disc space narrowing and loss or normal lumbar lordosis.
The earliest radiographic finding is scalloping of the inferior endplate, followed by disc space narrowing and endplate erosion.
The earliest radiographic finding is vertebra magna, followed by disc space narrowing and endplate erosion.