title: Pyogenic spondylodiscitis and osteoradionecrosis of the cervico-thoracic spine: a rare complication after surgery and radiation for hypopharyngeal cancer.
abstract: OBJECTIVE
  To describe a rare case of osteoradionecrosis and pyogenic spondylodiscitis of the cervico-thoracic spine after surgery and radiotherapy for hypopharyngeal cancer.
  
  
  METHODS
  Diagnostic clues are presented and critically discussed with particular regard to computed tomography, magnetic resonance and positron emission tomography features advising the association between and osteoradionecrosis and spondylodiscitis.
  
  
  CONCLUSIONS
  Pathogen isolation via CT-guided biopsy provided the definite diagnosis and indicated the targeted therapy. Successful recovery was obtained with conservative treatment.
authors.affiliation: University Hospital of Parma. a.ferri@libero.it.
authors.forename: Paolo
authors.initials: P
authors.lastname: Gradoni
authors.forename: Gabriele
authors.initials: G
authors.lastname: Oretti
authors.forename: Andrea
authors.initials: A
authors.lastname: Ferri
authors.forename: Teore
authors.initials: T
authors.lastname: Ferri
mesh_terms: D015299:Discitis; D006801:Humans; D007012:Hypopharyngeal Neoplasms; D008279:Magnetic Resonance Imaging; D010025:Osteoradionecrosis; D014057:Tomography, X-Ray Computed