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Imaging of Skeletal Tuberculosis

  • B. J. Cremin
  • D. H. Jamieson
Chapter

Abstract

  1. 1.

    Plain X-rays

    This is the major imaging modality for skeletal disease. Lateral tomography is useful for evaluating spinal lesions.

     
  2. 2.

    Computed Tomography (CT)

    CT is not usually essential for non-spinal disease. In the spine, CT demonstrates not only early disease but also involvement of the posterior elements and spinal canal encroachment.

     
  3. 3.

    Magnetic Resonance Imaging (MR)

    Magnetic resonance imaging is the best modality to demonstrate spinal disease for the extent of abscess formation and cord compression. It may be helpful in differentiating other conditions and may also show further unexpected early skeletal lesions. Gadolinium studies demonstrate rim enhancement of TB abscesses.

     
  4. 4.

    Ultrasound (US)

    Ultrasound may be used to show the extent of a paraspinal mass but this is best demonstrated by CT or MR.

     
  5. 5.

    Isotopes

    Isotopes can be used to show the extent and distribution of multiple lesions. Pin-hole collimators and single photon emission tomography (SPECT) increase the spatial resolution but the results are non-specific.

     

Keywords

Vertebral Body Nucleus Pulposis Psoas Abscess Pyogenic Infection Tuberculous Spondylitis 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

  1. 1.
    Shanmugasundaram TK (1987) Bone and joint tuberculosis. Surgery Medical Education (International) Ltd, pp 1060–1066Google Scholar
  2. 2.
    Thijn CJP, Steensma JT (1990) Tuberculosis of the skeleton. Focus on Radiology. Springer Verlag: HeidelbergCrossRefGoogle Scholar
  3. 3.
    Allen EH, Cosgrove D, Millard FJ (1978) The radiological changes in infections of the spine and their diagnostic value. Clin Radiol 29: 31–40PubMedCrossRefGoogle Scholar
  4. 4.
    Goldblatt M, Cremin BJ (1978) Osteo-articular tuberculosis: its presentation in coloured races. Clin Radiol 29: 669–677PubMedCrossRefGoogle Scholar
  5. 5.
    Chapman M, Murray RO, Stoker DJ (1979) Tuberculosis of the bones and joints. Semin Roentgenol 14: 266–282PubMedCrossRefGoogle Scholar
  6. 6.
    Reeder MM, Palmer PES (1981) Radiology of Tropical Diseases. Baltimore: Williams & Wilkins, pp 302–346Google Scholar
  7. 7.
    Maritz NGJ, de Villiers JFR, van Casticum QS (1982) Computed tomography in tuberculosis of the spine. Comput Radiol 6: 1–5PubMedCrossRefGoogle Scholar
  8. 8.
    Gropper GR, Acker JD, Robertson JH (1982) Computed tomography in Pott’s disease. Neurosurgery 10: 506–508PubMedCrossRefGoogle Scholar
  9. 9.
    Hermann G, Mendelson DS, Cohen BA, Train JS (1983) Role of computed tomography in the diagnosis of infectious spondylitis. J Comput Assist Tomog 7: 961–968CrossRefGoogle Scholar
  10. 10.
    Whelan MA, Naidich DP, Post JD, Chase NE (1983) Computed tomography of spinal tuberculosis. J Comput Assist Tomogr 7: 25–30PubMedCrossRefGoogle Scholar
  11. 11.
    La Berge JM, Brant-Zawadski M (1984) Evaluation of Pott’s disease with computed tomography. Neuroradiology 26:429–434CrossRefGoogle Scholar
  12. 12.
    Jain R, Sawhney S, Berry M (1993) Computed tomography of vertebral tuberculosis: patterns of bone destruction. Clin Radiol 1993 47: 196–199CrossRefGoogle Scholar
  13. 13.
    de Roos A, van Persijn van Meerten EL, Bloem JL, Bluemm RG (1986) MRI of tuberculous spondylitis. AJR 147: 79–82 (Note Vol No misprinted in original article as 146.)PubMedGoogle Scholar
  14. 14.
    Smith AS, Weinstein MA, Mizushima A, Coughlin B, Hayden SP, Lakin MM, Lanziere LF (1989) MR imaging characteristics of tuberculous spondylitis vs vertebral osteomyelitis. AJNR 10: 619–625Google Scholar
  15. 15.
    Hoffman EB, Crosier JH, Cremin BJ (1993) Imaging in children with spinal tuberculosis: a comparison of radiography, computed tomography and magnetic resonance imaging. J Bone Joint Surg [Br] 75B: 233–239Google Scholar
  16. 16.
    Cremin BJ, Jamieson DH, Hoffman EB (1993) CT and MR in the management of advanced spinal tuberculosis. Pediatr Radiol 23:298–300PubMedCrossRefGoogle Scholar
  17. 17.
    Hsu LCS, Leong JCY (1984) Tuberculosis of the lower cervical spine (C2 to C7). A report on 40 cases. J Bone Joint Surg [Br] 66B: 1–5Google Scholar
  18. 18.
    Smith AS, Blaser SI (1991) Infectious and inflammatory processes of the spine. Radiol Clin N Amer 29: 809–827PubMedGoogle Scholar
  19. 19.
    Hodgson AR, Wong W, Yau A (1969) Appearances of Tuberculosis of the Spine. Springfield Ill: Charles C ThomasGoogle Scholar
  20. 20.
    Umerah BC (1977) Radiological patterns of spinal tuberculosis in the African. East Afr Med J 54: 598–605PubMedGoogle Scholar
  21. 21.
    Naim-ur-Rahman (1980) Atypical forms of spinal tuberculosis. J Bone Joint Surg [Br] 62-B: 162–165Google Scholar
  22. 22.
    Campere EL, Garrison M (1936) The correlation of pathological and roentgenological findings in tuberculous and pyogenic infections of the vertebra: the fate of the interver- tebral disc. Am Surg 104: 1038–1067Google Scholar
  23. 23.
    Modic MT, Feiglin DH, Piraino DW, Boumphry F, Weinstein MA, Duchesneau PM, Rehm S (1985) Vertebral osteomylitis: assessment using MR. Radiology 157: 157–166PubMedGoogle Scholar
  24. 24.
    Förster A, Pothmann R, Winter K, Baumann-Rath CA (1987) Magnetic resonance imaging in non-specific discitis. Pediatr Radiol 17: 162–163PubMedCrossRefGoogle Scholar
  25. 25.
    Konstam PG, Bleskovsky A (1962) The ambulant treatment of spinal tuberculosis. Br J Surg 50: 26–38PubMedCrossRefGoogle Scholar
  26. 26.
    Hodgson AR, Stock FE (1956) Anterior Spinal Fusion: a preliminary on the radical treatment of Pott’s disease and Pott’s paraplegia. Br J Surg 44: 266–275PubMedCrossRefGoogle Scholar
  27. 27.
    Controlled trial of short course regimens of chemotherapy in the ambulatory treatment of spinal tuberculosis. (1993) Results of a three year study in Korea. Twelfth report of the Medical Research Council Working Party on tuberculosis of the spine. J Bone Joint Surg [Br] 75B: 240–248Google Scholar
  28. 28.
    Pattisson PRM (1986) Pott’s paraplegia: an account of the treatment of 89 conservative patients. Paraplegia 24: 77–91PubMedCrossRefGoogle Scholar
  29. 29.
    Corr P, Handler L, Davey H (1991) Pott’s paraplegia and tuberculous spondylitis: evaluation by magnetic resonance. Neuroradiology 33(suppl): 109–110Google Scholar
  30. 30.
    Kerri O, Martini M (1985) Tuberculosis of the knee. International Orthopaedics (SICOT) 9: 153–157CrossRefGoogle Scholar
  31. 31.
    McTammany JR, Moser KM, Houk VN (1963) Disseminated bone tuberculosis. Review of the literature and presentation of an unusual case. Am Rev Respir Dis 37: 889–895Google Scholar
  32. 32.
    Cremin BJ, Fisher RM, Levinsohn MW (1970) Multiple bone tuberculosis in the young. Br J Radiol 43: 638–645PubMedCrossRefGoogle Scholar
  33. 33.
    Ip M, Tsui E, Wong KL, Jones B, Pung CF, Ngan H (1993) Disseminated skeletal tuberculosis with skull involvement. Tuberc Lung Dis 74: 211–214CrossRefGoogle Scholar
  34. 34.
    Witcombe JB, Cremin BJ (1978) Tuberculous erosion of the sphenoid bone. Br J Radiol 51: 347–350PubMedCrossRefGoogle Scholar
  35. 35.
    Sellars SL (1973) Aural tuberculosis in childhood. S Afr Med J 47: 216–218PubMedGoogle Scholar

Copyright information

© Springer-Verlag London Limited 1995

Authors and Affiliations

  • B. J. Cremin
  • D. H. Jamieson

There are no affiliations available

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