Advertisement
Research Article| Volume 32, ISSUE 4, P303-309, July 2008

Download started.

Ok

Magnetic resonance imaging characteristics of tuberculous spondylitis vs. pyogenic spondylitis

      Abstract

      Objective

      To assess the magnetic resonance (MR) imaging features differentiating tuberculous spondylitis from pyogenic spondylitis.

      Methods

      MR imaging findings in 10 patients with tuberculous spondylitis were retrospectively compared with those of 13 patients with pyogenic spondylitis.

      Results

      There were significant differences in imaging criteria (paraspinal abnormal signal, paraspinal or intraspinal abscess, thoracic spine involvement, and abnormal signal around the facet joint).

      Conclusions

      MR imaging is a very useful technique for differentiation of tuberculous spondylitis from pyogenic spondylitis.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Clinical Imaging
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Modic MT
        • Feiglin DH
        • Piraino DW
        • Boumphrey F
        • Weinstein MA
        • Duchesneau PM
        • Rehm S
        Vertebral osteomyelitis: assessment using MR.
        Radiology. 1985; 157: 157-166
        • Thrush A
        • Enzmann D
        MR imaging of infectious spondylitis.
        Am J Neuroradiol. 1990; 11: 1171-1180
        • Smith AS
        • Blaser SI
        Infectious and inflammatory processes of the spine.
        Radiol Clin North Am. 1991; 29: 809-827
        • Jevtic V
        Vertebral infection.
        Eur Radiol. 2004; 14: 43-52
        • Almeida Á
        Tuberculosis of the spine and spinal cord.
        Eur J Radiol. 2005; 55: 193-201
        • Chotivichit A
        • Buchowski JB
        • Lawson HC
        • Huckel CB
        Tuberculosis of spine.
        in: Osenbach RK Zeidman SM Infections in Neurological Surgery, Diagnosis and Management. 1st ed. Lippincott-Raven, Philadelphia1999: 281-297
        • Tali ET
        Spinal infections.
        Eur J Radiol. 2004; 50: 120-133
        • Arizono T
        • Oga M
        • Shiota E
        • Honda K
        • Sugioka Y
        Differentiation of vertebral osteomyelitis and tuberculous spondylitis by magnetic resonance imaging.
        Int Orthop. 1995; 19: 319-322
        • Moore SL
        • Rafii M
        Imaging of musculoskeletal and spinal tuberculosis.
        Radiol Clin North Am. 2001; 39: 329-342
        • Sharif HS
        • Morgan JL
        • al Shahed MS
        • al Thagafi MY
        Role of CT and MR imaging in the management of tuberculous spondylitis.
        Radiol Clin North Am. 1995; 33: 787-804
        • Jung NY
        • Jee WH
        • Ha KY
        • Park CK
        • Byun JY
        Discrimination of tuberculous spondylitis from pyogenic spondylitis on MRI.
        Am J Roentgenol. 2004; 182: 1405-1410
        • Weaver P
        • Lifeso RM
        The radiological diagnosis of tuberculosis of the adult spine.
        Skeletal Radiol. 1984; 12: 178-186
        • Ragland RL
        • Abdelwahab IF
        • Braffman B
        • Moss DS
        Posterior spinal tuberculosis: a case report.
        Am J Neuroradiol. 1990; 11: 612-613
        • Babinchak TJ
        • Riley DK
        • Rotheram EB
        Pyogenic vertebral osteomyelitis of the posterior elements.
        Clin Infect Dis. 1997; 25: 221-224
        • Smith AS
        • Blaser SI
        Infectious and inflammatory process of the spine.
        Radiol Clin North Am. 1991; 29: 809-827
        • Jinkins JR
        • Bazan C
        • Xiong L
        MR of disk protrusion engendered by infectious spondylitis.
        J Comput Assist Tomogr. 1996; 20: 715-718
        • Smith AS
        • Weinstein MA
        • Mizushima A
        • Coughlin B
        • Hayden SP
        • Lakin MM
        • Lanzieri CF
        MR imaging characteristics of tuberculous spondylitis vs vertebral osteomyelitis.
        Am J Roentgenol. 1989; 153: 399-405