Computed Tomography of Spinal Tuberculosis

Computed tomography in spondylitis: CT versus other radiographic methods

“…Radionuclide bone scan gives a positive finding earlier than radiographs but is less specific, and does not demonstrate anatomic details. Multiple-affected vertebrae were detected most frequently in tuberculous spondylitis, which is in agreement with a n earlier report (Whelan et al 1983).…”

“…On the basis of our study and other investigations, it seems that the existence of soft tissue involvement is very typical of spondylitis (Golimbu et al 1984 Whelan et al 1983); paravertebral invasion was seen in 17 of our 21 examinations. The combination of soft tissue involvement and bone destruction is also found in neoplastic cases, but differential diagnosis between neoplastic and spondylitic changes is usually possible on CT. CT is a superior method in demonstrating a paravertebral mass and is the only method which permits qualitative evaluation.…”

“…In all our cases with proven tuberculosis, calcification was seen in the paravertebral mass, but cases without calcification have also been reported (Whelan et al 1983). Reactive sclerosis and involvement of multiple vertebrae are seen more frequently in tuberculosis than in other infections.…”

Tuberculosis of Spine Magnetic Resonance Imaging (MRI) Evaluation of 42 Cases

“…Magnetic resonance imaging is particularly useful in demonstrating the morphologic extent of soft tissue spread, especially after GdDTPA injection. Paraspinal abscesses are often bilateral, large and relatively out of proportion to the amount of bone destruction 13,19,20 .…”

Evaluation of radiological investigations in spinal tuberculosis

“…CT scanning has several advantages and may detect bony involvement where plain radiography has failed [4,14]. In one of our cases CT showed involvement of the left pedicle of D7 as the primary lesion (Fig.…”