Magnetic Resonance Imaging of Tuberculous Spondylitis

Al-Mulhim, Fatma A.; Ibrahim, Ezzeldin M.; El-Hassan, Abdulla Y.; Moharram, Hazem M.

doi:10.1097/00007632-199511000-00005

Cited by 69 publications

(48 citation statements)

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“…Various authors have reported a select number of MRI findings in a limited number of patients which lacks uniformity of terms and descriptions [1,2,[5][6][7][8][14][15][16][17][18][19][20][21][22][23][24]. This study was undertaken to document all MR features in proven cases of spinal tuberculosis Chronic localised back pain of varying severity and duration was the presentation.…”

Section: Discussionmentioning

confidence: 99%

“…Other series have also reported almost 100% incidence of marrow oedema in cases of TB spine [1][2][3][4][5][6][7][8][9][16][17][18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33]. The caseous exudative type was more common (48/49 cases, 158/161 VB) while 3/161 (1.86%) VB had the granular type (Table 2).…”

Section: Discussionmentioning

confidence: 99%

“…The avascularity of the discs may prevent them from serving as an initial site of infection and disc destruction begins only when the two adjacent VBs are so structurally weakened that the disc not only loses its nutritional support but it also herniates into the soft vertebral body, seen as loss of interverbral disc on X-rays [34,35]. Various authors have reported varying incidence of disc preservation including Yusof et al [22] (63% destroyed, 34% spared), Chang et al [8] (42.4% destroyed, 57.6% spared), Liu et al [17] (72.4% destroyed, 27.5% spared), Desai [1] (50% disc space reduced, 50% spared), al-Mulhim et al [20] (46% destroyed, 54% spared), Loke et al [21] (63.6% destroyed, 36.4% spared), Akman et al [6] (77.3% discitis, 22.7% spared), Andronikou et al [5] (100% involved with 100% disc height reduction), Jung et al [24] (55% disc space narrow, 45% disc space preserved, 80% had discitis), and Thrush et al [23] (100% spared).…”

Section: Discussionmentioning

confidence: 99%

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Magnetic Resonance evaluation of tubercular lesion in spine

Jain

Sreenivasan

Saini

et al. 2011

International Orthopaedics (SICOT)

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Purpose Information on Magnetic Resonance (MR) features of active and healed lesions in tuberculosis (TB) spine are lacking. We evaluated MRI findings in active and healed proven TB spine to establish the diagnostic features. Materials and method Forty-nine consecutive spinal TB patients (20 male; 29 female) diagnosed clinicoradiologically and/or on histopathology, Fine Needle Aspiration Cytology (FNAC), bacteriology, or Polymerase Chain Reaction (PCR) were enrolled. Pretreatment MR scans were reviewed for diagnostic features, and eight-month follow-up MR scans were reviewed for healing changes.Results Cervical spine (n=6), dorsal spine (n=14), and lumbar spine (n=29) were affected. Fourteen had paraplegia. Mean vertebrae involved were 2.61 on X-ray with a total of 128 vertebrae (VB) and 3.2 on MRI (range, 2-15) with 161 VB. The lesions were more extensive on MRI (34.7%) than appreciated on X-ray. The disc was preserved partially or fully in 88.2% of instances. End plate erosions (159/161 VB), lost VB height (94/161), exudative lesion (158/161), granular lesion (3/161), pre and paravertebral collections (49/49 cases), marrow oedema (161/161), discitis (98%), epidural involvement (107/161), epidural spread (100/161), and subligamentous spread (156/161) were observed. Canal encroachment (10-90%) was seen in 37 cases. Mean motor and sensory scores with greater than 50% canal encroachment were 87/ 100 and 156/168, respectively. Cord oedema was observed in 11 cases (eight with neural deficit and three cases without). Cord atrophy was seen in one case each before and after treatment. A total of 83% of patients had a combination of paravertebral collections, marrow oedema, subligamentous and epidural extension, endplate erosions and discitis. On healing (n=20), complete resolution of marrow oedema and collections, fatty replacement of bone marrow and resolution of cord signal intensity were observed. Conclusion The marrow oedema, preservation of disc space, subligamentous extension of abscess, septate paravertebral abscess, epidural extension, endplate erosions and discitis were consistently observed in 83% cases of TB spine on MRI.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Magnetic Resonance evaluation of tubercular lesion in spine

Jain

Sreenivasan

Saini

et al. 2011

International Orthopaedics (SICOT)

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“…The signal intensity of the affected vertebral marrow is decreased on T1-weighted images (Fig. 1A) [15], in 72 % in Liu et al's series [16], and in 68 % in Lindahl et al's series [17].…”

Section: Vertebral Elementsmentioning

confidence: 99%

“…1, 2, 3, 4, 5) [15,17]. Soft tissues masses displace the thecal sac and the spinal cord is distorted (Figs.…”

Section: Soft Tissuesmentioning

confidence: 99%

MR imaging of tuberculous vertebral osteomyelitis: pictorial review

Gouliamos¹,

Kehagias²,

Lahanis³

et al. 2001

European Radiology

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Vertebral osteomyelitis is one of the most common manifestations of tuberculosis. Magnetic resonance imaging is considered the main imaging modality for the diagnosis, the demonstration of the extent of the disease, and follow-up studies. Vertebral destruction involving two consecutive levels with sparing of the intervertebral disc, disc herniation into the vertebral body, epidural involvement, and paraspinal abscess are the most common MRI findings suggestive of tuberculous vertebral osteomyelitis.

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Imaging Findings of Tuberculosis of the Spine and Its Coverings

Karadeli¹,

Turgut²

2017

Tuberculosis of the Central Nervous System

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Magnetic Resonance Imaging of Tuberculous Spondylitis

Cited by 69 publications

References 0 publications

Magnetic Resonance evaluation of tubercular lesion in spine

Magnetic Resonance evaluation of tubercular lesion in spine

MR imaging of tuberculous vertebral osteomyelitis: pictorial review

Imaging Findings of Tuberculosis of the Spine and Its Coverings

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