Computed Tomography of Spinal Tuberculosis.
10.3349/ymj.1988.29.3.252
- Author:
Jin Suck SUH
1
;
Jung Ho SUH
;
Chang Yun PARK
;
Nam Hyun KIM
;
Byeong Mun PARK
Author Information
1. Department of Diagnostic Radiology, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
- Publication Type:Original Article ; Research Support, Non-U.S. Gov't
- Keywords:
Spine;
diseases;
tuberculosis;
computed tomography
- MeSH:
Adolescent;
Adult;
Child;
Child, Preschool;
Contrast Media/administration and dosage;
Female;
Human;
Male;
Middle Age;
Support, Non-U.S. Gov't;
*Tomography, X-Ray Computed;
Tuberculosis, Spinal/*radiography
- From:Yonsei Medical Journal
1988;29(3):252-258
- CountryRepublic of Korea
- Language:English
-
Abstract:
Twenty-nine patients with spinal tuberculosis were evaluated by computed tomography (CT). The contiguous involvemnt of the vertibral bodies as well as the detailed localization of the destruction were analyzed. Our result disclosed that there was a higher incidence of the destruction of pedicles(68 percent) and an involve-ment of posterior elements (13 percent). Frequent patterns were fragmentation, sequestrae, disc space narrowing reactive sclerosis, paravertebral mass (abscess) and calcification. CT also p--vided precise information about the rim, density and size of the soft tissue mass, particularly following intravenous contrast infusion. CT was found to be helpful in the evaluation of the extent of osseous and soft tissue involvement as well as the destructive pattern. We conclude that CT can be used to detect the extent of osseous and paravertebral soft tissue involvement and to differentiate spinal tuberculosis from a neoplastic lesion.
