Imagerie diagnostique de la spondylodiscite infectieuse

Loubes-Lacroix, F.; Gozlan, A.; Cognard, Christophe; Manelfe, C

doi:10.1016/j.emcrad.2004.01.003

Cited by 8 publications

(8 citation statements)

References 38 publications

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“…This could be explained by the way the infectious process spreads. Indeed, Pott's disease, like any spinal infection, begins first with a spinal lesion after hematogenous colonization then spread to the disc, all with an insidious evolution of the disease [19,34]. Several radiological lesions were identified during our study.…”

Section: Discussionmentioning

confidence: 91%

Epidemiological, clinical and paraclinical aspects of Pott's disease at Brazzaville University Hospital

ANGALLA Affleck Romaric Ledier,

LAMINI N'SOUNDHAT Norbert Edgard,

AKOLI EKOYA

et al. 2024

Int. J. Sci. Res. Arch.

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Objective: Describe the epidemiological, clinical and paraclinical aspects of Pott's disease at the University Hospital Center of Brazzaville. Patients and methods: This was a descriptive, cross-sectional study with retrospective collection carried out in the Rheumatology department of Brazzaville University Hospital from January 1, 2013 to June 31, 2017, i.e. 4 years and 6 months. The diagnosis of Pott's disease was based on anamnestic, clinical and paraclinical arguments. Results: The hospital frequency of Pott's disease was 6.4%. Men predominated (56.4%) with a sex ratio of 1.3. The average age was 46 +/- 16 years (range: 20-80 years). The average time to diagnosis was 6.6 ± 5 months (range: 1-26 months). Alcoholism was the most common cause in 56 cases (50.9%). Spinal syndrome was present in 109 cases (99.1%). All patients had a standard spine x-ray performed. Computed tomography was performed in 28 patients (25.5%), magnetic resonance imaging in 23 patients (20.9%). The most common morphological aspect was spondylodiscitis in 76 cases (69.1%) associating disc pinching (60%), erosion (40%), and demineralization (19.1%). Atypical forms were found in 34 cases (30.9%), dominated by the appearance of spondylitis in 21 cases (61.8%). Conclusion: Pott's disease is a common pathology in developing countries, spondylodiscitis remains the most common morphological form.

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Section: Discussionmentioning

confidence: 91%

Epidemiological, clinical and paraclinical aspects of Pott's disease at Brazzaville University Hospital

ANGALLA Affleck Romaric Ledier,

LAMINI N'SOUNDHAT Norbert Edgard,

AKOLI EKOYA

et al. 2024

Int. J. Sci. Res. Arch.

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“…En séquence pondérée T1, il existe un hyposignal du disque et des plateaux vertébraux adjacents (figure 5). L'abcès para vertébral présente un rehaussement de la coque après injection de gadolinium [16]. Ces aspects sont retrouvés chez nos patients.…”

Section: Discussionunclassified

“…Dans une étude Tanzanienne, plus de la moitié des patients présentaient une compression médullaire d'origine infectieuse, le mal de Pott en particulier. En effet, le germe pyogène le plus fréquemment rencontré est le staphylocoque doré, mais l'atteinte rachidienne est la première localisation ostéoarticulaire de la tuberculose [16]. Dans le travail de Ndao et al, l'étiologie la plus fréquente était d'origine infectieuse (n=5 dont 4 cas de mal de pott) [10].…”

Section: Discussionunclassified

“…En effet, l'infiltration tumorale apparait typiquement en hyposignal en pondération T1, se rehaussant fortement après injection de Gadolinium et en hypersignal T2 [4]. Plusieurs séries européennes ont montré que les épidurites métastatiques représentent 90% des causes extradurales et touchent une population plus âgée [4,5,16]. En revanche, ces résultats étaient le contraire de ceux de notre série tout comme de ceux d'une étude marocaine [18].…”

Section: Discussionunclassified

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Apport de l’IRM dans le diagnostic étiologique de la compression médullaire lente à Lomé : à propos de 72 cas

Administrateur- JAIM,

DAGBE Massaga,

N’TIMON Bidamin

et al. 2023

J Afr Imag Méd

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Goal: to determine the contribution of the MRI in the diagnosis of slow medullary compressions of adults at the International Polyclinic Saint Joseph of Lomé.Methodology: a retrospective and descriptive study which related to 72 adult patients who profited from a medullary MRI from June 2011 to March 2018 in the service of radiology and medical imagery of the International Polyclinic Saint Joseph of Lomé.Results: During the period of the study, 1675 MRI exams was achieved with 72 which was concluded about medullar compression injuries, that is 4.29%. The medium old of the patients was 42 years and the extremely old was 22 and 80. The most common age group was between 52 and 61 old, that’s 31.94% (n=23). The male subjects represented 58,33% (n=42) and the sex ratio was 1,4. The MRI exams was achieved 5 days after prescription (44.44; n=32) and within 3 to 5 days (29.17%; n=21). The cervical spine was common explored (65,28%; n=47). The extra durales injuries were majority in 91.64% of the cases.Degenerative pathologies accounted for 75% of the cases compared with 13.88% for the infectious ones. The herniated disc was the common degenerative injury (50%). Conclusion: the etiologies of non-traumatic slow medullary compression are dominated by degenerative pathologies especially herniated disc and infectious one concerning the extra dural compartment. RESUME Objectifs : déterminer l’apport de l’IRM dans le diagnostic étiologique des compressions médullaires lentes (CML) de l’adulte à la Polyclinique Internationale Saint Joseph de Lomé (PISJL). Méthodologie : étude rétrospective et descriptive qui portait sur 72 patients adultes ayant bénéficié d’une IRM médullaire de juin 2011 à mars 2018 pour compression médullaire lente dans le service de radiologie et imagerie médicale de la PISJL. Résultats : Sur la période d’étude, 1675 examens d’IRM avaient été réalisés dont 72 avaient conclu à des lésions de compression médullaire soit 4,29%. L’âge moyen des patients était de 42 ans avec des extrêmes de 22 et 80 ans. La tranche d’âge la plus fréquente était comprise entre 52 et 61 ans dans 31,94% des cas (n=23). Les sujets de sexe masculin représentaient 58,33% (n=42) avec une sex-ratio de 1,4. L’IRM était réalisée 5 jours après la demande dans 44,44% (n=32) des cas et 29,17% (n=21) des cas dans un délai de 3 à 5 jours. La région cervicale était la plus explorée avec plus de 65,28% (n=47). Les lésions extradurales étaient majoritaires dans 91,64% des cas. Les pathologies dégénératives représentaient 75% des cas versus 13,88% des cas de lésions infectieuses. La hernie discale était la plus fréquente des pathologies dégénératives (50%). Conclusion :les étiologies de la compression médullaire lente non traumatique sont dominées par la pathologie dégénérative en particulier la hernie discale et la pathologie infectieuse intéressant surtout le compartiment extra dural.

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“…Computed tomography is more sensitive than radiography, and its value has been emphasized by various authors (Duva Ferrier et al, 1993), unveiling bone lesions at an early stage. It was requested in all our patients, despite their neurological status, but other authors have made little use of it (Le Breton et al, 1993) prioritizing MRI.…”

Section: Discussionmentioning

confidence: 99%

Surgical Treatment of Thoracolumbar Pott’s Disease at Niamey National Hospital (HNN) about 34 Cases

Sode,

Ibrahim,

Sawa

et al. 2023

EMSJ

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Pott's disease or tuberculous spondylodiscitis is one of the most serious forms of osteoarticular tuberculosis, responsible for spinal cord compression and/or "cauda equina" syndrome due to granulomatous and/or abscessed tuberculous epiduritis. Surgery therefore plays a key role in the management of this pathology, although surgical techniques vary widely from one author to another and from one department to another. The aim of our work is to describe the different techniques used in our department during the study period, and to evaluate the results. This is a prospective study concerning 34 cases of dorsolumbar and lumbar Pott's disease collised in the neurosurgery department of Niamey National Hospital from January 2020 to December 2021. Analysis of our results found 26 men and 8 women with a sex ratio of 3.25; the extreme ages were 11 and 76 years and the mean age was 40.53 years. 20 patients presented with dorsal cord compression syndrome, 12 with cauda equina syndrome, 6 with conus medullaris syndrome and 2 with multifocal localization. CT was performed in all patients and MRI in only one. All patients were treated with antibacillary chemotherapy. In 16 patients (47.06%), a posterolateral approach consisting of hemilaminectomy, pediculotomy and unilateral arthrectomy was used; in 9 patients (26.47%) a posterior approach consisting of fenestration; and laminectomy in 4 patients (11.76%). An anterior approach in 3 patients (8.82%), consisting of a corpectomy and an antero-lateral approach (pediculo-artrectomy-corpectomy) in 2 patients (5.89%). All our patients underwent debridement, evacuation of residual pus and sequestrectomy. Out of the debridement filling of the defect was performed in 23 cases with a spinous graft, 2 with fibula, 2 with a rib graft and one with an iliac bone graft. At 4 months post-surgery, radicular signs had completely disappeared in all patients, and sensory-motor deficit had improved in 30 patients (88.23%). There was a reduction in kyphosis in all patients who had benefited from an anterior approach, compared with 41.38 % who had undergone a posterior approach.

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Imagerie diagnostique de la spondylodiscite infectieuse

Cited by 8 publications

References 38 publications

Epidemiological, clinical and paraclinical aspects of Pott's disease at Brazzaville University Hospital

Epidemiological, clinical and paraclinical aspects of Pott's disease at Brazzaville University Hospital

Apport de l’IRM dans le diagnostic étiologique de la compression médullaire lente à Lomé : à propos de 72 cas

Surgical Treatment of Thoracolumbar Pott’s Disease at Niamey National Hospital (HNN) about 34 Cases

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