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Published by : PROFESSIONAL MEDICAL PUBLICATIONS |
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ISSN 1681-715X |
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ORIGINAL ARTICLE |
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Volume 25 |
October - December 2009 (Part-II) |
Number 6 |
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Evaluation of the role of MRI in
spinal tuberculosis: A study of 60 cases
G.R. Bajwa1
ABSTRACT
Objective: To evaluate the role of MRI in assessing the extent of disease in spinal tuberculosis.
Methodology: This was a descriptive study conducted at department of Surgery and Orthopaedics District Headquarter Teaching Hospital Sargodha from July, 2007 to December, 2008. This study was carried out on 60 cases of tuberculosis spine seen through out patients and admitted through accident & emergency department of DHQ– Hospital. There were 33 Males (55%), 27 Female (45%) Age range was 14-36 years. Mean age was 33 years. Clinical features of the patients were noted and detailed data of patients was collected on Pre-designed performa. Diagnosed cases of TB–spine were included in this study. Patients having non-tuberculous spondilitis were excluded.
Results: Most common symptom was backache in 38 cases (63%). Spinal cord compression was found in 16 cases (26.6%). Most commonly affected level was thoracolumber spine (45%). Diffuse involvement was rare and only 3 cases (05%) were having more than one level involvement. Plain radiography was the primary imaging modality. MRI was the most valuable investigation. MRI findings of tuberculosis spine were reduced intervertabral disc space (95%) cases. wedge collapse of body 18 (30%), complete destruction of body 12 (20%), paraspinal abscess 24 (40%). Calcification in 18 (30%) and card compression 16 cases (26.6%).
Conclusion: MRI is the most valuable investigation in patients with spinal tuberculosis. It gives information about the extent of disease and hence is used as guide to surgical treatment. MRI is also used during follow up to monitor the response to treatment.
KEY WORDS:
MRI, Vertabral collapse, Psoas abscess.Pak J Med Sci October - December 2009 (Part-II) Vol. 25 No. 6 944-947
How to cite this article:
Bajwa GR. Evaluation of the role of MRI in spinal Tuberculosis: A study of 60 cases. Pak J Med Sci 2009;25(6): 944-947.
1. Dr. G.R. Bajwa, FRCS, FCPS
Assistant Professor of Surgery
Sargodha Medical College,
University of Sargodha,
Punjab - Pakistan.
Correspondence:
Dr. GR Bajwa,
Bajwa Trauma Centre,
67 Stadium Road,
Sargodha.
Punjab - Pakistan.
E-mail: sargodhamri@yahoo.com
* Received for Publication: February 12, 2009
* Revision Received: March 9, 2009
* Revision Accepted: October 25th 2009
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