Treatment for Tuberculosis of the Spine: Anti-Tuberculosis Drugs in Conjunction with Radical Operation and Short Hospitalization with No Enforced Recumbency or Immobilization

Paus, Bernhard

doi:10.3109/ort.1964.35.suppl-72.01

Cited by 12 publications

(3 citation statements)

References 34 publications

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“…Skip lesions was seen in 12.1% of cases. Concomitant tuberculosis of the lung was 66.6% [25] . The order of frequency in Paus (1964) series of 141 cases has been Lumbar (50), dorsal (35), dorsolumbar (25), lumbosacral (22), cervicodorsal (8), sacral (1) and cervical (nil) [26] .…”

Section: Discussionmentioning

confidence: 99%

“…Concomitant tuberculosis of the lung was 66.6% [25] . The order of frequency in Paus (1964) series of 141 cases has been Lumbar (50), dorsal (35), dorsolumbar (25), lumbosacral (22), cervicodorsal (8), sacral (1) and cervical (nil) [26] . Isolated solitary vertebral body tuberculosis is seen in only 1.69% of the total proven cases of spine tuberculosis [27] .…”

Section: Discussionmentioning

confidence: 99%

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Correlation of plain radiography and MRI spine evaluation in spinal TB

Gopala¹,

Gurushankar²

2023

Int. J. Radiol. Diagn. Imaging

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Background: Both x-ray and MRI play a pivotal role in the diagnosis of tuberculous spondylodiscitis. However x-ray has disadvantages of not detecting cord changes and disc space changes however MRI is an expensive modality of investigations. The purpose of this study is to correlate the plain radiograph and MRI spine in evaluation spinal TB. Methods and Materials:The present cross sectional study was conducted on patients with clinical suspicion of spinal tuberculosis of who will be referred to radiology department for MRI. The imaging was be done using Allengers Digital Radiography machine and SIEMENS 1.5 tesla MR scanner using spine coil. Routine imaging sequences were done. Diagnosis was confirmed with clinical and laboratory parameters. Initially AP and Lateral spine bucky radiograph will be taken in the 500mA X-Ray machine. Then non contrast T1 weighted (T1W), T2 weighted (T2W) and short tau inversion recovery (STIR) sequences in axial, sagittal and coronal planes of the involved spine were taken. Result: In the present study, the subjects were categorized into three age groups with an interval of 10. The above table gives data on distribution of study subjects based on their age. More subjects were found in the age group of 31-40 years, i.e., 21 subjects (60%); followed by 10 subjects in the age group of 41-50 years (28.57%); 4 subjects in the age group of 21-30 years (11.43%). Majority were males, i.e., 23 (65.71%) followed by 12 females, (34.29%). Majority subjects were residing in rural areas, i.e., 20 subjects (57.14%) followed by 15 subjects residing in urban areas (42.86%). Majority subjects were experiencing symptoms for 6 to 10 months, i.e., 22 subjects (62.86%); followed by 8 subjects for < 6 months (22.86%) and finally 5 subjects experiencing symptoms for > 10 months (14.29%). The mean calculated was 9.95±4.71The frequency of paravertebral widening on plain radiography was 8 (22.85%) and that on MRI was 19 (54.29%). The difference in the percentage was 31.44. The frequency of posterior element involvement on plain radiography was 6 (17.14%) and that on MRI was 13 (37.14%). The difference in the percentage was 20. The frequency of vertebral height reduction on plain radiography was 5 (14.28%) and that on MRI was 11 (31.42%). The difference in the percentage was 17.14. The frequency of thecal sac compression, cord compression and cord changes were not found on plain radiography. Their frequencies on MRI were 5 (14.28%). The difference in the percentage was 14.28. Conclusion: MRI is a better and more informative imaging modality in evaluation of patients of Pott's spine, however, both X-rays and MRI have their own diagnostic importance, advantages and disadvantages and both are complementary to each other for evaluation of tuberculosis of spine.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Correlation of plain radiography and MRI spine evaluation in spinal TB

Gopala¹,

Gurushankar²

2023

Int. J. Radiol. Diagn. Imaging

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“…Most of the studies had lumbar spine as the most common site of spinal tuberculosis. 4,5,19,24,[27][28][29] However, dorsal spine is also the most common site of spinal tuberculosis in other studies. 12,22,30 Bajwa had dorso-lumbar spine as the most common site of spinal tuberculosis in his series.…”

Section: Discussionmentioning

confidence: 99%

Musculoskeletal Tuberculosis: Two Year Experience at a Tertiary Care Teaching Hospital of Northern India and Review of Literature

Ali

Bhat

Fatima

et al. 2018

JCD

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Background:The aim of this study was to evaluate the present trend of osteo-articular tuberculosis at a teaching hospital in North India.Methods: All the cases of skeletal tuberculosis that were diagnosed and managed either on outdoor or in-hospital stay basis over a period of two years were evaluated with respect to age, gender, anatomical location of lesion, laboratory parameters (ESR, Mantoux test, HIV screening), concomitant skeletal tuberculous lesions, associated pulmonary tuberculosis, and other associated clinical features.Results: A total of 84 skeletal tuberculous lesions in 80 patients were enrolled for the study. The age of the patients ranged from 2 to 70 years with a mean of 29.1±19.1 years. 55% patients were in second and third decade of life and 63.7% were males. ESR was elevated in 61.25% and 56.25% tested positive for Mantoux skin test. 21.25% patients had associated active or healed focus of tuberculosis in the lungs. Spine was the most common site involved (58.75%) followed by hip (13.1%), knee (8.3%), foot (4.7%) and shoulder joint (3.5%). Lumbar spine was the most common site affected in the spine followed by lower dorsal spine. 3.75% cases had multifocal skeletal tuberculous lesions. Conclusion:Prevalence of osteo-articular tuberculosis continues to be high in North India with the disease predominantly affecting young population. Spine is the most common site for skeletal tuberculosis followed by hip, knee, foot and shoulder. Lumbar region followed by lower dorsal spine is much more affected. Multifocal skeletal lesions incidence is lower than expected. And one-fifth of the patients have associated pulmonary tubercular lesion.

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Severe kyphotic deformity in tuberculosis of the spine

Tuli

1995

International Orthopaedics

140

124

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Almost 3% of cases of tuberculosis of the spine develop a severe kyphotic deformity. The patients at risk are those who developed the disease under the age of 10 years, who had involvement of three or more vertebral bodies and had lesions between C7 to L1. A severe kyphosis is more than a cosmetic disfigurement because nearly all such patients develop cardiopulmonary dysfunction, painful impingement between ribs and pelvis and compression of the spinal cord with paraplegia at an average of 10 years after the onset of the disease. Correction of the established deformity is difficult and dangerous. Anterior transposition of the cord does not always result in permanent neurological recovery, so it is imperative to diagnose and treat the condition either before bony destruction has occurred or when it is in an early phase. Those patients who are at risk of developing a severe deformity should be treated by posterior fusion of the spine.

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Treatment for Tuberculosis of the Spine: Anti-Tuberculosis Drugs in Conjunction with Radical Operation and Short Hospitalization with No Enforced Recumbency or Immobilization

Cited by 12 publications

References 34 publications

Correlation of plain radiography and MRI spine evaluation in spinal TB

Correlation of plain radiography and MRI spine evaluation in spinal TB

Musculoskeletal Tuberculosis: Two Year Experience at a Tertiary Care Teaching Hospital of Northern India and Review of Literature

Severe kyphotic deformity in tuberculosis of the spine

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