The spine is the most frequent location of musculoskeletal tuberculosis. Tuberculous spondylitis is defined as an infection by Mycobacterium Tuberculosis of one or more components of the spine:vertebra, intervertebral disc, paraspinal soft tissue or extradural space. the infection begins in the anterior part of vertebral body, adjacent to the endplate. Commonly related symptoms are back pain and lower limb weakness/paraplegia. The purpose of this studywas to determine the contribution of imaging in diagnosis, characterization of lesions, and the post-therapeutic surveillance of tuberculous spondylodiscitis.

Retrospective study covering 25 cases of tuberculous spondylodiscitis, collected from Central Department of Radiology of Ibn Rochd University Hospital in Casablanca , over 18 months. We reviewed 15 MRI and 20 CT studies obtained from 25 patients. All MR Imaging was performed with 1.5 Tesla MRI using a surface coil or spine coil. Sagittal T1-Weighted spin echo, T2-Weighted spin echo and axial T2-Weighted spin echo were acquired in all cases. In addition, T1-Weighted with fat saturation in sagittal and axial planes were obtained after intravenous...

The mean age of patients with tuberculous spondylitis was 44,5 years (range, 21–68 years). Most common presenting neurological symptoms were back or neck pain (n=20) , paraplegia in 14 cases. Thoracic spine was the most common site of spinal TB involvement(n=10) followed by lumbar(n=13), and cervical(n=2) . Sacrum was involved inone case. Imaging manifestations of tuberculous spondylitis includehigh signal intensity of intervertebraldisc on T2W (n=11),intraosseous and paraspinal abscess (n=9), psoas abscesses(n=9), vertebral body destruction and extension into the epidural space , epidural abcess(n=8),spinal marrow edema(n=5),...

Early diagnosis of tuberculous spondylitis is of paramount importance for appropriate management and for preventing complications, such as cold abscesses, sinus tracts, neurological weakness. Imaging studies, namely MRI and CT, are important tools for: characterizing the lesion, performing biopsy, planning surgery, evaluating the success of treatment and detecting complications in the follow-up. Magnetic resonance imaging (MRI) is the investigation method of choice for the diagnosis of spondylodiscitis because it presents some advantages including high sensitivity in early stages, better definition of paravertebral and epidural extension,...

1- Dr Belaaroussi Soukaina-Central Department of Radiology of Ibn Rochd University Hospital _Casablanca/morocco;[email protected] 2- Dr Kabir Elmehdi -Central Department of Radiology of Ibn Rochd University Hospital _Casablanca/morocco; [email protected] 3-DrFahl Amine -Central Department of Radiology of Ibn Rochd University Hospital _Casablanca/morocco; [email protected] 4- Pr Essodegui Fatiha- Department of Radiology of Ibn Rochd University Hospital _Casablanca/morocco;[email protected] 5- Pr Lezar Samira- Department of Radiology of Ibn Rochd University Hospital _Casablanca/morocco;[email protected]

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