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Objective: To determine the spectrum of findings on Magnetic Resonance Imaging (MRI) in patients with spinal tuberculosis (TB) in a tertiary care hospital.
Methodology: From January 2019 to December 2020, this retrospective study was carried out at the Hayatabad Medical Complex (HMC), Peshawar, Department of Diagnostic Radiology. In total, 120 TB patients were sampled for this research. A total of 45 samples were found to be TB cases and were further investigated in this study.
Results: Out of those 45 patients 19 (42.2%) were female and 26 (57%) were male. In 45 patients only 9 (20%) gave a history of previous tuberculosis. Spondylitis at a single level was observed in 3 (6.7%) patients, 37 (82.2%) patients had spondylitis at multiple levels, and 5 (11.1%) did not develop any spondylitis.
Conclusion: This study concluded that magnetic resonance imaging is costly but valuable for the investigation of spinal TB. It is a variety of presentations that can cause a diagnostic dilemma so by looking into the most repetitive and common findings we can achieve diagnostic accuracy for spinal TB.
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Garg RK, Somvanshi DS. Spinal tuber¬culosis: a review. J Spinal Cord Med. 2011;34(5):440-54. DOI:10.1179/204 5772311Y.0000000023
Li T, Li W, Du Y, Gao M, Liu X, Wang G, et al. Discrimination of pyogen¬ic spondylitis from brucellar spon-dylitis on MRI. Medicine (Baltimore). 2018;97(26):e11195. DOI:10.1097/ md.0000000000011195
Ahmad N, Irshad S, Rehan A, Rauf A, Shaukat A, Israr S. Diagnostic accura¬cy of magnetic resonance imaging in diagnosis of spinal tuberculosis. Ann Punjab Med Coll. 2020;14(2):168-72. DOI:10.29054/apmc/2020.839.
Rivas-Garcia A, Sarria-Estrada S, Tor¬rents-Odin C, Casas-Gomila L, Franquet E. Imaging findings of Pott’s disease. Eur Spine J. 2013;22 Suppl 4(S4):567- 78. DOI:10.1007/s00586-012-2333-9
Currie S, Galea-Soler S, Barron D, Chandramohan M, Groves C. MRI characteristics of tuberculous spondy¬litis. Clin Radiol. 2011;66(8):778-87. DOI:10.1016/j.crad.2011.02.016
Kanna RM, Babu N, Kannan M, Shetty AP, Rajasekaran S. Diagnostic accura¬cy of whole spine magnetic resonance imaging in spinal tuberculosis validat¬ed through tissue studies. Eur Spine J. 2019;28(12):3003-10. DOI:10.1007/ s00586-019-06031-z
Rasouli MR, Mirkoohi M, Vaccaro AR, Yarandi KK, Rahimi-Movaghar V. Spinal tuberculosis: diagnosis and manage¬ment. Asian Spine J. 2012;6(4):294- 308. DOI:10.4184/asj.2012.6.4.294.
Pandita A, Madhuripan N, Pandita S, Hurtado RM. Challenges and contro¬versies in the treatment of spinal tuber¬culosis. J Clin Tuberc Other Mycobact Dis. 2020;19(100151). DOI:10.1016/j. jctube.2020.100151
Zhang N, Zeng X, He L, Liu Z, Liu J, Zhang Z, et al. The value of MR im¬aging in comparative analysis of spi¬nal infection in adults: Pyogenic ver¬sus tuberculous. World Neurosurg. 2019;128:e806-13. DOI:10.1016/j. wneu.2019.04.260
Vaishnav KU, Patel AG, Solanki R. How magnetic resonance imaging is helps in diagnosis of tuberculosis of spine? Int j contemp med surg radi¬ol. 2019;4(3): 141-5. DOI:10.21276/ ijcmsr.2019.4.3.31
Chandrasekhar YBVK, Rajesh A, Purohit AK, Rani YJ. Novel magnetic resonance imaging scoring system for diagnosis of spinal tuberculosis: A preliminary report. J Neurosci Rural Pract. 2013;4(2):122- 8. DOI:10.4103/0976-3147.112733
Bajwa GR. Evaluation of the role of MRI in spinal Tuberculosis: A study of 60 cases. Pak J Med Sci 2009;25(6): 944-47. Available from URL: https:// pesquisa.bvsalud.org/portal/resource/ pt/emr-102674
Saha AC, Kabiraj SK, Rahman MR, Sher¬min S, Masud MH, Hossain MA. Surgi¬cal treatment of dorsolumbar spine tu¬berculosis by posterior decompression, stabilization with transpedicular screws and rods and fusion. Delta Med Coll J. 2016;4(2):71-6. DOI:10.3329/dmcj. v4i2.29373
Sinan T, Al-Khawari H, Ismail M, Ben-Nakhi A, Sheikh M. Spinal tu¬berculosis: CT and MRI features. Ann Saudi Med. 2004;24(6):437- 41. DOI:10.5144/0256-4947.2004. 437
Jain R, Sawhney S, Berry M. Computer tomography of vertebral tuberculosis: Patterns of bone destruction. Clin Ra¬diol. 1993;47(3):196-9. DOI:10.1016/ s0009-9260(05)81162-6.
Bhatnagar DS, Garg DA, Kaur DA, Kaur DN, Mohi DJ. Spinal tuberculosis: im¬aging features on MRI. Int J Med Res Rev. 2018;6(2):65-70. DOI:10.17511/ ijmrr.2018.i02.01
Bakhsh A. Medical management of spinal tuberculosis: an experience from Pakistan. Spine (Phila Pa 1976). 2010;35(16):787-91.DOI:10.1097/ BRS.0b013e3181d58c3c
Abbas A, Rizvi SRH, Mahesri M, Sala¬huddin HRA. Conservative management of spinal tuberculosis: initial series from pakistan. Asian Spine J. 2013;7(2):73- 80. DOI:10.4184/asj.2013.7.2.73