Tuberculosis of the Spine Part I: Clinical Study on Anterior Fusion for Spinal Tuberculosis

Hahn, Moon Sik; Lee, Han Koo; Lee, Duk Yong; Suk, Se Il; Kim, Young Min; Choi, In Ho; Jeon, Jai Myung; Lee, Soo Ho

doi:10.4055/jkoa.1984.19.1.69

Cited by 2 publications

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“…Vertebral osteomyelitis is more common in the lumbar region, followed by thoracic and cervical spine (less than 10%) [ 13 , 14 , 15 ]. Bone and joint involvement develops in approximately 10% of patients with tuberculosis, and half of these affected patients have tuberculosis of the spine [ 12 , 16 , 17 ]. In several studies, the thoracic spinal vertebrae have been found as the most common areas of tuberous infection, followed by lumbar and thoracolumbar spine (in descending order by rate).…”

Section: Incidencementioning

confidence: 99%

“…In several studies, the thoracic spinal vertebrae have been found as the most common areas of tuberous infection, followed by lumbar and thoracolumbar spine (in descending order by rate). In pyogenic spondylitis, the lumbar spine is the most common area of infection, followed by thoracic and cervical spine (less than 10%) [ 13 , 15 , 17 , 18 ].…”

Section: Incidencementioning

confidence: 99%

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Comparison of Pyogenic Spondylitis and Tuberculous Spondylitis

Lee

2014

Asian Spine J

120

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Pyogenic spondylitis and tuberculous spondylitis are common causes of spinal infection. It is difficult to differentiate tuberculous spondylitis and pyogenic spondylitis clinically and radiologically. Recently magnetic resonance imaging has been reported to be beneficial for early diagnosis and differential diagnosis of the spondylitis, and is being used extensively for diagnosis. However, the diagnosis must be considered in combination with corresponding changes in clinical manifestations, radiological findings, blood and tissue cultures and histopathological findings. Conservative treatments, including antimicrobial medications, are started initially. Surgical treatments, which include anterior or posterior approach, single-stage or two-stage surgery, with or without instrumentation, may be performed as indicated.

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Section: Incidencementioning

confidence: 99%

Section: Incidencementioning

confidence: 99%

Comparison of Pyogenic Spondylitis and Tuberculous Spondylitis

Lee

2014

Asian Spine J

120

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“…The presence of skip lesions, large paraspinal cold abscess and paraspinal calcifications within abscesses are also suggestive of tuberculous spondylitis. 12,13,14 Pyogenic Spondylitis Pyogenic spondylitis most commonly involves the lumbar spine. Most frequently Staphylococcus aureus is the etiological agent.…”

Section: Discussion Tuberculous Spondylitismentioning

confidence: 99%

MR Imaging in Infectious Spondylitis

Singh¹,

Sai²,

Gowda³

et al. 2018

jebmh

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BACKGROUNDSpondylodiscitis is characterized by infection involving the intervertebral disc and adjacent vertebrae. MRI is the imaging modality of choice due to its very high sensitivity and specificity. It is also useful in differentiating between pyogenic, tubercular, brucellar and other types of spondylitis. Hence this study was undertaken to evaluate MRI findings in infectious spondylitis. MATERIALS AND METHODSTotally, 40 patients referred for MRI scans with the clinical diagnosis of spinal infections were included in our study. The patients were classified as tubercular, pyogenic, and brucellar spondylodiscitis on the basis of imaging findings and were correlated with the final diagnosis made by histopathology/cytology/culture/biochemistry or with successful therapeutic outcome and were subsequently analysed for sensitivity, specificity and accuracy based on the imaging findings. RESULTSStatistical analysis was done using the Chi square test and Z test. The sensitivity, specificity, accuracy and p value of the MRI findings in tubercular, pyogenic and brucellar spondylitis was calculated and the inference and conclusion were made based on the above findings. CONCLUSIONMRI was accurate for differentiation of tuberculous spondylitis from pyogenic and brucellar spondylitis.

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Tuberculosis of the Spine Part I: Clinical Study on Anterior Fusion for Spinal Tuberculosis

Cited by 2 publications

References 0 publications

Comparison of Pyogenic Spondylitis and Tuberculous Spondylitis

Comparison of Pyogenic Spondylitis and Tuberculous Spondylitis

MR Imaging in Infectious Spondylitis

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