|
|
|
| The imaging manifestation in aged spinal tuberculosis |
| ZHANG Zhijing, CHEN Jiuzun, ZHOU Shengfa, HE Jiawei, YU Zhikang. |
Department of Radiology, the Second Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325027
|
|
| Cite this article: |
|
ZHANG Zhijing,CHEN Jiuzun,ZHOU Shengfa, et al. The imaging manifestation in aged spinal tuberculosis[J]. JOURNAL OF WEZHOU MEDICAL UNIVERSITY, 2016, 46(2): 137-139.
|
|
|
Abstract Objective: To investigate the imaging fingdings in aged spinal tuberculosis. Methods: Imaging findings of 43 elderly patients with spinal tuberculosis proved pathologically or clinically were analyzed retrospectively. Results: Eighty-one vertebral bodies were affected in total, including 11, 24, 42 and 4 vertebral bodies separately in the cervical, thoracic, lumbar and sacrococcygeal spine. Four cases were limited to a single vertebral body, 28 cases occurred in two adjacent vertebrae, and 20 cases involved multiple vertebral bodies. The X-ray features of the 35 patients mainly included: disc-space narrowing, vertebral bodies destruction or wedged, and spinal sequence disordering. Twenty-three of them were confirmed exactly, 7 cases were misdiagnosed, and 5 patients’ disease diagnoses were missed. The CT scan largely involved vertebral bodies destruction, abscess and sequestrum formation, paravertebral soft tissue swelling, intervertebral disc damaging and intervertebral space narrowing. Nineteen of them were proved accurately, 5 cases were misdiagnosed, and 2 patients diagnoses were missd. The major characteristics in MRI were vertebral body lesions (little low or low on T1W images, high on T2W images and visibly high on STIR), paraspinal soft tissue swelling and abscess informed. Also the dural sacs and spinal cord were compressed, intervertebral signal and shape changed. Sixteen cases were diagnosed correctly, 2 of them were misdiagnosed. Conclusion: The aged spinal tuberculosis which is difficult to distinguish from other diseases, e.g. spine degeneration, metastasis, is of special imaging characteristics. Imaging studies combining together are helpful to thoroughly observe and exactly diagnose the disease.
|
|
Received: 21 May 2015
|
| |
|
|
|
[1] 秦世炳, 管波清, 董伟杰, 等. 脊柱MRI表现的临床分析[J].中华外科杂志, 2008, 46(9): 703-704.
[2] 蓝常贡. 高龄脊柱结核的诊断和治疗进展[J]. 右江医学, 2008, 36(6): 748-751.
[3] MOON M S.Tuberculosis of the spine. Controversies and a new challenge[J]. Spine, 1997, 22(15): 1791-1797.
[4] 甄平, 刘兴炎, 李旭升, 等. 老年脊柱结核的临床表现及影像学特点[J]. 中国脊柱脊髓杂志, 2008, 18(8): 600-604.
[5] 蔡磊, 谢安明. 老年脊柱结核的CT与MRI表现对比分析 [J]. 中华医院感染学杂志, 2012, 22(2): 271-272.
[6] 李威, 黎竹勇. 老年人脊柱结核的影像表现特点[J]. 中华老年医学杂志, 2004, 23(9): 619-622.
[7] 唐勇, 布桂林, 曹林德, 等. 老年脊柱结核患者的临床特点及MRI表现[J]. 中华实用诊断与治疗杂志, 2009, 23(5): 467-468.
[8] DENSAI S S. Early diagnosis of spinal tuberculosis by MRI[J]. J Bone Joint Surg Br, 1994, 76(6): 863-869.
|
|
|
|
