Pott's disease x ray: Difference between revisions

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{{Pott's disease}}
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==Overview==
Plain radiograph is the initial investigation to look for the presence of bony and intervertebral disc abnormalities.


==X Ray==
==X Ray==
*[[Radiograph]]s of the [[spine]]:
[[Plain radiographs]] of the [[spine]] demonstrate changes suggestive of [[Pott's disease|spinal tuberculosis]] in majority of the patients. The [[radiographic]] changes on plain X-Rays are not evident in the early stages of [[infection]], therefore the changes are present in the late stages of the disease.
Radiographic changes associated with Pott's disease present relatively late. The following are radiographic changes characteristic of spinal [[tuberculosis]] on plain radiography:
Findings on the [[plain radiograph]] include:<ref name="pmid27642440">{{cite journal| author=Zhang H, Lu Z| title=Atypical imaging of spinal tuberculosis: a case report and review of literature. | journal=Pan Afr Med J | year= 2016 | volume= 24 | issue=  | pages= 101 | pmid=27642440 | doi=10.11604/pamj.2016.24.101.9701 | pmc=5012831 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=27642440  }} </ref><ref name="pmid26450101">{{cite journal| author=Rauf F, Chaudhry UR, Atif M, ur Rahaman M| title=Spinal tuberculosis: Our experience and a review of imaging methods. | journal=Neuroradiol J | year= 2015 | volume= 28 | issue= 5 | pages= 498-503 | pmid=26450101 | doi=10.1177/1971400915609874 | pmc=4757228 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26450101  }} </ref>
**Lytic destruction of anterior portion of vertebral body
*[[Rarefaction]] of the [[vertebral end plates]]
**Increased anterior wedging
*[[Lytic]] [[destruction]] of [[anterior]] portion of [[vertebral body]]
**Collapse of vertebral body
*[[Collapse]] of the [[vertebral body]]
**Reactive sclerosis on a progressive lytic process
*Loss of disc height
**Enlarged psoas shadow with or without calcification
*[[Osseous]] destruction with [[osteolytic lesions]]
**Osteoporotic vertebral end plates
*New-bone formation
**Shrunk or destroyed intervertebral disks
*Soft-tissue [[abscess]] appear as [[fusiform]] [[paravertebral]] shadows : Increase in the prevertebral space in the [[cervical spine]] suggests [[retropharyngeal abscess]], [[lumbar spine]] [[abscess]] appear as paravertebral soft tissue shadows.
**Fusiform paravertebral shadows suggestive of [[abscess]] formation
*Presence of [[calcification]] in the [[abscess]] is highy suggestive of [[tuberculosis]] infection.
**Bone lesions may occur at more than one level.
[[Image: Potts Xray GIf.gif|500px|center|enframed|
Xray spine showing the destruction of T12 and L1, with a resultant gibbus in potts disease
]]


==References==
==References==
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[[Category:Vertebral column disorders]]
[[Category:Vertebral column disorders]]
[[Category:Tuberculosis]]
[[Category:Tuberculosis]]
[[Category:Infectious disease]]
 
[[Category:Disease]]
[[Category:Disease]]
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{{WH}}
{{WS}}
{{WS}}

Latest revision as of 18:47, 18 September 2017

Pott's disease Microchapters

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Aravind Kuchkuntla, M.B.B.S[2]

Overview

Plain radiograph is the initial investigation to look for the presence of bony and intervertebral disc abnormalities.

X Ray

Plain radiographs of the spine demonstrate changes suggestive of spinal tuberculosis in majority of the patients. The radiographic changes on plain X-Rays are not evident in the early stages of infection, therefore the changes are present in the late stages of the disease. Findings on the plain radiograph include:[1][2]

Xray spine showing the destruction of T12 and L1, with a resultant gibbus in potts disease

References

  1. Zhang H, Lu Z (2016). "Atypical imaging of spinal tuberculosis: a case report and review of literature". Pan Afr Med J. 24: 101. doi:10.11604/pamj.2016.24.101.9701. PMC 5012831. PMID 27642440.
  2. Rauf F, Chaudhry UR, Atif M, ur Rahaman M (2015). "Spinal tuberculosis: Our experience and a review of imaging methods". Neuroradiol J. 28 (5): 498–503. doi:10.1177/1971400915609874. PMC 4757228. PMID 26450101.

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