Radiologic Analysis of Tuberculous Spondylitis

결핵성 척추염의 방사선학적 분석

  • Hwang, Mi-Soo (Department of Diagnostic Radiology College of Medicine, Yeungnam University) ;
  • Kim, Sun-Yong (Department of Diagnostic Radiology College of Medicine, Yeungnam University)
  • 황미수 (영남대학교 의과대학 진단방사선과학교실) ;
  • 김선용 (영남대학교 의과대학 진단방사선과학교실)
  • Published : 1986.06.30

Abstract

Among the skeletal tuberculosis, tuberculous spondylitis is high incidence and curable disease, if early diagnosis and treatment are possible. We reviewed clinical manifestations and radiologic analysis of 30 cases tuberculous spondylitis from May 1983 to Sept. 1986, at Yeungnam medical center, Yeungnam University. The results were follows : 1. The frequent involve sites were thoracolumbar vertebra. 2. The continuous lesion is 86.7% of the all cases. 3. The most common type was intervertebral type, and lytic and sclerotic lesion were same incidence. 4. Paravertebral abscess, kyphosis and disc space narrowing were demonstrated more than 80.0% of the cases. 5. Computed tomography was more accurate diagnostic method rather than conventional plain study to evaluation of extent of lesion, involvement of spinal canal and cord, and size and location of paravertebral abscess. And CT guided abscess drainage procedure was helpful to diagnosis and treatment. 6. Ultrasonography was helpful to differential diagnosis between paravertebral abscess and other solid mass, and useful to follow up study of paravertebral abscess after treatment.

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Acknowledgement

Supported by : 영남대학교