Evaluation of Spinal Tuberculosis by Plain X-Rays and Magnetic Resonance Imaging in a Tertiary Care Hospital in Northern India -A Prospective Study
Journal Title: International Journal of Contemporary Medical Research - Year 2018, Vol 5, Issue 2
Abstract
Introduction: Plain X-ray remains the primary imaging modality to evaluate spinal tuberculosis. MRI additionally detects spinal canal narrowing, cord compression / cord oedema and can also pick up clinically/X-ray occult cases as well as multilevel involvement, without the risk of ionizing radiation. The purpose of the study was to describe the radiological features of spinal tuberculosis on MRI (Magnetic Resonance Imaging) and plain X-rays, to co-relate the findings and to evaluate the role of each in spinal tuberculosis. Method and Materials: The study was conducted on sixty five patients suspected of spinal tuberculosis. After taking an informed consent, all patients were subjected to evaluation by plain radiographs and MRI, while post contrast MRI study was done, wherever required. Results: Dorsal vertebrae were most commonly involved with the paradiscal type being the most common radiological type of involvement. Disc involvement, endplate irregularity, abscess, calcification, reduction in vertebral height and spinal cord compromise were important radiological features. MRI was noted to be a better modality for the evaluation of the spinal cord/ canal status. Plain radiography showed a crucial role in picking up calcification within the abscess. Conclusion: MRI is the modality of choice in evaluation of spinal tuberculosis, however, both X-rays and MRI are complimentary to each other.
Authors and Affiliations
Rumeet Kukreja, Mukta Mital, Prashant K. Gupta
Keywords
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