Sumera Tabassum1, Shahbaz Haider2. 1. Dr. Sumera Tabassum, MBBS, FCPS, Consultant Radiologist, Department of Radiology, Jinnah Post Graduate Medical Centre (JPMC), Karachi, Pakistan. 2. Dr. Shahbaz Haider, MBBS, FCPS, Senior Registrar, Medical Unit IV, Ward 23, Jinnah Post Graduate Medical Centre (JPMC), Karachi, Pakistan.
Abstract
OBJECTIVE: To determine frequencies of different MRI patterns of tuberculous spondylitisin a public sector hospital in Karachi. METHODS: This descriptive multidisciplinary case series study was done from October 25, 2011 to May 28, 2012 in Radiology Department and Department of Medicine in the Jinnah Postgraduate Medical Center Karachi. MRI scans (dorsal / lumbosacral spine) of the Patients presenting with backache in Medical OPD, were performed in Radiology Department. Axial and sagittal images of T1 weighted, T2 weighted and STIR sequences of the affected region were taken. A total of 140 patients who were diagnosed as having tuberculous spondylitis were further evaluated and analyzed for having different patterns of involvement of the spine and compared with similar studies. RESULTS: Among frequencies of different MRI pattern of tuberculous spondylitis, contiguous vertebral involvement was 100%, discal involvement 98.6%, paravertebral abscess 92.1% cases, epidural abscess 91.4%, spinal cord / thecal sac compression 89.3%, vertebral collapse 72.9%, gibbus deformity 42.9% and psoas abscess 36.4%. CONCLUSION: Contiguous vertebral involvement was commonest MRI pattern, followed by disk involvement, paravertebral & epidural abscesses, thecal sac compression and vertebral collapse.
OBJECTIVE: To determine frequencies of different MRI patterns of tuberculous spondylitisin a public sector hospital in Karachi. METHODS: This descriptive multidisciplinary case series study was done from October 25, 2011 to May 28, 2012 in Radiology Department and Department of Medicine in the Jinnah Postgraduate Medical Center Karachi. MRI scans (dorsal / lumbosacral spine) of the Patients presenting with backache in Medical OPD, were performed in Radiology Department. Axial and sagittal images of T1 weighted, T2 weighted and STIR sequences of the affected region were taken. A total of 140 patients who were diagnosed as having tuberculous spondylitis were further evaluated and analyzed for having different patterns of involvement of the spine and compared with similar studies. RESULTS: Among frequencies of different MRI pattern of tuberculous spondylitis, contiguous vertebral involvement was 100%, discal involvement 98.6%, paravertebral abscess 92.1% cases, epidural abscess 91.4%, spinal cord / thecal sac compression 89.3%, vertebral collapse 72.9%, gibbus deformity 42.9% and psoas abscess 36.4%. CONCLUSION:Contiguous vertebral involvement was commonest MRI pattern, followed by disk involvement, paravertebral & epidural abscesses, thecal sac compression and vertebral collapse.
Entities:
Keywords:
Magnetic resonance imaging; Spondylitis; Tuberculous
Authors: A S Smith; M A Weinstein; A Mizushima; B Coughlin; S P Hayden; M M Lakin; C F Lanzieri Journal: AJR Am J Roentgenol Date: 1989-08 Impact factor: 3.959
Authors: Tariq Sinan; Hana Al-Khawari; Mohammed Ismail; Abdulmohsen Ben-Nakhi; Mehraj Sheikh Journal: Ann Saudi Med Date: 2004 Nov-Dec Impact factor: 1.526