Type:
Educational Exhibit
Keywords:
Infection, Education, MR, Musculoskeletal system, Musculoskeletal spine
Authors:
S. Arooj1, M. farooq1, S. Kadri2, K. Qadir3; 1Karachi/PK, 2Karachi, karachi/PK, 3Karachi, Si/PK
DOI:
10.1594/ecr2018/C-2238
Background
TB is still a health hazard and challenge faced especially by south east Asian countries.
Spinal TB accounts for more than 50% of musculoskeletal TB.
It is mostly a secondary infection from primary site either in lung or from genitourinary tract.
Spinal infection usually results from hematogenous seeding of vertebral body,
and th diagnosis remains elusive due to indolent nature of this chronic infectivprocess.
Because of this the MR findings are far advanced at the time of establishing the diagnosis.
Radiographic manifestations of TB spondylitis include intraosseous and paraspinal abscess formation,
subligamentous spread of infection,
vertebral body destruction with collapse and extension into spinal epidural space.
This leads to significant instability and deformity of the spine.
Thus prompt diagnosis and timely treatment is the need to prevent permanent neurological damage and permanent deformities.