MRI in spinal tuberculosis: Its use in early diagnosis and initiation of anti-tubercular therapy

Journal Title: International Journal of Orthopaedics Sciences - Year 2018, Vol 4, Issue 4

Abstract

Objective: With high incidence and prevalence of spinal tuberculosis in developing countries like India MRI can be used for early detection of spinal tuberculosis and can serve as a basis for starting anti tubercular therapy without waiting for definitive confirmation in the form of bacteriological detection microscopically or in culture and without the use of invasive procedures like biopsy for histo-pathological diagnosis. Aims and objectives: To study the role of MRI in early detection and treatment of spinal tuberculosis Materials and methods 94 patients of spinal tuberculosis were diagnosed on history, clinical examination. Lab-investigations, X-ray spine and MRI spine. 2 patients were lost to follow-up and were thus excluded from the study. All the patients were put on ATT. Patients were followed for almost 9 to 12months at monthly intervals for first 6 months and thereafter every 3 monthly. At each follow-up patients were evaluated for pain relief, subsidence of fever, return of appetite, neurological recovery and lastly return to work. Results: Inter-vertebral disc space reduction, vertebral end plate erosions, Para-spinal collection (psoas abscess), anterior body wedge collapse cord compression, complete vertebral destruction were the consistent findings seen in our patients suggesting tubercular spondylitis. 92 (97.8%) patients responded to anti tubercular therapy with pain relief, absence of fever, improvement in appetite and neurological recovery and completely returned to work. 2 patients were lost to follow up. Conclusion: MRI spine can be used as a tool for early detection of tuberculosis spine and for empirical treatment way long before bacteriological diagnosis is made and thus can act a basis for starting ATT without definitive confirmation.

Authors and Affiliations

Alamgir Jhan, Deepti Randhev, Ganesh Singh

Keywords

Related Articles

Monteggia fracture dislocation: A study on the functional outcome of surgical treatment in patients attending Osmania General Hospital, Hyderabad, Telangana, India

The aim of this study was to assess the effectiveness of surgical treatment by open reduction and internal fixation of Monteggia fracture dislocation and evaluate the union of fracture, complications encountered during t...

A comparative study of treatment of unstable intertrochanteric fractures with PFN and cemented hemiarthroplasty

Aim: Aim of the study is to analyse and compare the functional outcomes and radiological results of two different surgical modalities, PFN and cemented hemiarthroplasty in the treatment of unstable intertrochanteric frac...

Percutaneous screw fixation of isolated fractures of the greater tuberosity of the humerus

Background: The unacceptable treatment outcome of the isolated greater tuberosity fracture of the humerus mainly due to missed diagnosis, ignorance, or when be trivialized. Patients and Methods: Twelve patients with iso...

Outcome analysis of management of recurrent shoulder dislocation by latarjet procedure

Introduction: With the extreme range of movements, the shoulder joint is prone for dislocations. This could be due to traumatic or atraumatic, though the majority are atraumatic. With each subsequent episode of dislocati...

Posterior cruciate ligament avulsion from the Tibia: Fixation by a posterior approach

The authors present their experience with a posterior approach for fixation of posterior Cruciate ligament avulsion from the tibia. Avulsion usually occurs at the tibial insertion. The approach is easy, safe and demands...

Download PDF file
  • EP ID EP487819
  • DOI 10.22271/ortho.2018.v4.i4d.39
  • Views 100
  • Downloads 0

How To Cite

Alamgir Jhan, Deepti Randhev, Ganesh Singh (2018). MRI in spinal tuberculosis: Its use in early diagnosis and initiation of anti-tubercular therapy. International Journal of Orthopaedics Sciences, 4(4), 208-210. https://europub.co.uk/articles/-A-487819