Pott's Spine: Diagnostic Imaging Modalities and Technology Advancements

摘要: Spinal tuberculosis (TB) or Pott's spine is the commonest extrapulmonary manifestation of TB. It spreads through hematogenous route. Clinically, it presents with constitutional symptoms, back pain, tenderness, paraplegia paraparesis, and kyphotic scoliotic deformities. accounts for 2% all cases TB, 15% extrapulmonary, 50% skeletal The paradiscal, central, anterior subligamentous, neural arch are common vertebral lesions. Thoracic vertebrae commonly affected followed by lumbar cervical vertebrae. Plain radiographs usually initial investigation in spinal For a radiolucent lesion to be apparent on plain radiograph there should 30% bone mineral loss. Computed tomographic scanning provides much better bony detail irregular lytic lesions, sclerosis, disc collapse, disruption circumference than radiograph. Magnetic resonance imaging (MRI) best diagnostic modality more sensitive other modalities. MRI frequently demonstrates collapse/destruction, cold abscess, wedging/collapse, marrow edema, Ultrasound computed guided needle aspiration biopsy technique early histopathological diagnosis. Recently, coexistence human immunodeficiency virus infections TB has been increased globally. In recent years, diffusion-weighted (DW-MRI) diffusion coefficient values combination used some extent diagnosis We have reviewed related literature internet. terms searched Google scholar PubMed spine, paraplegia, MRI, tomography (CT).