The clinicpathologic features and MRI manifestations of the thoracic lumbar tuberculosis
- 1 MRI Department of the Affiliated Tian-You Hospital, Wuhan University of Science & Technology, Wuhan, China
- 2 MRI Department of the Affiliated Tian-You Hospital, Wuhan University of Science & Technology, Wuhan, China
- 3 MRI Department of the Affiliated Tian-You Hospital, Wuhan University of Science & Technology, Wuhan, China
- 4 MRI Department of the Affiliated Tian-You Hospital, Wuhan University of Science & Technology, Wuhan, China
Abstract
Objective: To explore the clinicpathologic features and MRI manifestations of the thoracic lumbar tuberculosis by underwenting MRI and pathological examinations. Methods: 34 cases of Thoracic lumbar tuberculosis were collected which underwent MRI examination and confirmed by pathology or treatment of anti-TB drugs, the clinical cure from June 2008 to June 2012 in our hospital. The first MRI was performed on all patients, to determine the MRI findings, and surgical treatment for pathological examination in order to determine the pathological features. Results: 34 patients with 81 vertebral involvement, in which two adjacent vertebral involvement is the common, accounting for 72.25%, vertebral showed uneven long T1, long T2 signal. Intervertebral disc abnormalities accounted for 90.17%, the performance showed long T1, long T2 signal changes in the intervertebral disc damage, often accompanied by disc space narrowing or disappear. Paraspinal abscess accounted for 90.67%, often more than vertebra, up and down across one or more vertebral bodies showed long T1, long T2 signal. The vertebrae were damaged kyphosis or (and) the posterior longitudinal ligament abscess caused by the dural sac and spinal column with pressure accounted for 74.72%. In enhanced scan, vertebrae, intervertebral discs showed heterogeneous enhancement, paraspinal abscess was curved or ring enhancement. The pathological diagnosis may be obvious to confirm the degree of swelling and lesions. Conclusion: By doing the MRI and pathologic examinations, it can determine the clinical and pathological features and MRI findings of spinal tuberculosis patients with Thoracic lumbar spinal tuberculosis, and lay a reliable foundation for the treatment of the subsequent treatment.
- Liu, Z.-X., Zhu, H., Qi, Q.-L., et al. (2010) Clinical efficacy analysis of 162 cases of Thoracic lumbar tuberculosis. Chinese Orthopedic and Traumatology, 23, 497- 499.
- Kong, Q.-H. and Wang, J. (2009) Diagnosis of the thoracic lumbar tuberculosis (a report of 39 cases). Chinese Journal of traditional Chinese orthopedic and Traumatology, 17, 25-26.
- Zhao, S.-K., Li, Y.-X. and Ran, H. (2010) The differential diagnosis between discitis and spine tuberculosis of MRI. Journal of Medical Imaging, 20, 1700-1702.
- Lauzardo, M. and Peloquin, C.A. (2012) Antituberculosis therapy for 2012 and beyond. Expert Opinion on Pharmacotherapy, 13, 511-516.
- Jin, D.P., Qu, D.B., Chen, J.T., et al. (2004) One-stage anterior interbody autografting and internal fixation in primary surgical management of thoracolumbar spinal tuberculosis. Eurspine, 13, 112-114.s
- Gu, X.-F., Cheng, L. and Zhou, Y.-Y. (2009) The analysis of therapeutic effect with posterior debridement and bone grafting fusion internal fixation of Thoracic lumbar tuberculosis. Chinese Medical Journal, 89, 2898-2901.
- Liu, Z.-M., Ma, X.-Q., Tan, H.-F., et al. (2009) MRI diagnosis of atypical spinal tuberculosis. Radiology Practice, 24, 83-86.
- Zhang, Y.-L., Zhou, Q.-C. and Wu, S.-K. (2009) MRI manifestations of tuberculosis of spine, spinal meninges and spinal cord. Chinese Journal of Medical Imaging Technology, 25, 1265-1268.