Retrospective Study of Magnetic Resonance Imaging (MRI) Findings in Pott’s Spine

Authors

  • Bishwanath Sharma Bheri Hospital
  • Om Biju Panta Nepal Mediciti Hospital
  • Bikash Raj Thapa National Trauma Centre
  • Prakash Thapa Bheri Hospital
  • Tirthendra Khadka Bheri Hospita

DOI:

https://doi.org/10.3126/njr.v11i2.40667

Keywords:

Epidural collection, Gibbus, MRI spine, Pott’s Spine.

Abstract

Introduction: Skeletal tuberculosis accounts for approximately two percent of all infected tuberculosis (TB). Magnetic resonance imaging (MRI) due to its inherent soft tissue contrast is a very good tool to diagnose the condition and look for its extent and deformities. This study aims to study the MRI findings in a patient with diagnosed case of spinal tuberculosis.

Methods: The study was carried out in a referral diagnostic imaging center in western Nepal. All MRI studies of the spine performed in a patient with diagnosed spinal tuberculosis during the study period were included in the study. Patients lacking microbiological or pathological diagnoses of spinal tuberculosis were excluded from the study.

Results: A total of 70 patients were included in the study. The mean age of the patients was 45.6 ± 16.8 years. All patients in the study had a spondylodiscitis pattern of involvement. Single intervertebral disc and adjacent vertebrae were involved in 85.7% and multiple contiguous vertebrae and IV discs were involved in 14.3% of cases. Gibbus deformity was seen in 17.1% of cases. Pre/paravertebral and Epidural collections were seen in 95.7% and 72.9% of patients respectively, whereas psoas abscess was seen in 28.6% of patients. Cord compression with myelopathy was seen in 8.6% of patients. Involvement of posterior elements was seen in 27.1% of patients.

Conclusion: MRI is an excellent tool to see the extent, deformity, and abscess in spinal tuberculosis. Most patients with tuberculosis present late with collections and deformities.

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Author Biographies

Bishwanath Sharma, Bheri Hospital

Senior Consultant Radiologist ,Department of Radiology

Om Biju Panta, Nepal Mediciti Hospital

Associate Consultant Radiologist , Department of Radiology

Bikash Raj Thapa, National Trauma Centre

Assistant Professor , Department of Radiology

Prakash Thapa, Bheri Hospital

Senior Orthopaedic Surgeon , Department of Orthopaedics

Tirthendra Khadka, Bheri Hospita

Senior Orthopaedic Surgeon , Department of Orthopaedics

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Published

2021-12-31

How to Cite

Sharma, B., Panta, O. B. ., Thapa, B. R. ., Thapa, P., & Khadka, T. (2021). Retrospective Study of Magnetic Resonance Imaging (MRI) Findings in Pott’s Spine. Nepalese Journal of Radiology, 11(2), 11–18. https://doi.org/10.3126/njr.v11i2.40667

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Section

Original Articles