Head and Neck Imaging
Study on the Value of MRI in Differential Diagnosis of Spinal Tuberculosis and Spondylitis*
Author：ZHANG Chao, LU Tan.
affiliation：Department of Orthopeadic Surgery, the First Affiliated Hospital of Xinxiang Medical University, Xinxiang 453100, China
PDFAbstract
Objective To study the value of MRI in the differential diagnosis of spinal tuberculosis and spondylitis. Methods 40 cases of patients with spinal tuberculosis and 34 cases with Brucella spondylitis who were treated in our hospital between May 2009 and July 2014 were enrolled in the study. The general data and medical records were retrospectively analyzed. The MRI findings and pathological features were compared by two experienced imaging diagnostic physicians between the two groups. Results In 40 cases with spinal tuberculosis, 35 cases manifested as lumbar diseases, 27 cases as anterior vertebral destruction, 16 cases as intervertebral disc diffuse destruction, 24 cases as severe intervertebral space stenosis, and another 9 cases as paravertebral abscess. Among 34 cases with Brucella spondylitis, 28 cases were with lumbar diseases, 20 cases with posterior vertebral destruction, 31 cases with hyperplasia and 15 cases with local intervertebral disc destruction. Conclusion The MRI findings of spinal tuberculosis and Brucella spondylitis are different. In clinic, accurate differential diagnosis can be made according to their imaging findings, combined with the laboratory examination and other means.
【Keyword】Spinal Tuberculosis; Spondylitis; MRI
【Chart number】R681.5
【Document Identification Number】A
【DOI】 10.3969/j.issn.1672- 5131.2016.07.038
Chinese journal of CT and MRI
th14Volume， th 7 Issue
2016Year07Month
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