Pott's disease x ray: Difference between revisions
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__NOTOC__ | __NOTOC__ | ||
{{Pott's disease}} | {{Pott's disease}} | ||
{{CMG}} | {{CMG}} {{AE}} {{AKI}} | ||
==Overview== | |||
Plain radiograph is the initial investigation to look for the presence of bony and intervertebral disc abnormalities. | |||
==X Ray== | ==X Ray== | ||
[[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. | |||
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]] | ||
* | *[[Lytic]] [[destruction]] of [[anterior]] portion of [[vertebral body]] | ||
*[[Collapse]] of the [[vertebral body]] | |||
* | *Loss of disc height | ||
* | *[[Osseous]] destruction with [[osteolytic lesions]] | ||
* | *New-bone formation | ||
* | *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. | ||
* | *Presence of [[calcification]] in the [[abscess]] is highy suggestive of [[tuberculosis]] infection. | ||
[[Image: Potts Xray GIf.gif|500px|center|enframed| | |||
Xray spine showing the destruction of T12 and L1, with a resultant gibbus in potts disease | |||
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==References== | ==References== | ||
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[[Category:Vertebral column disorders]] | [[Category:Vertebral column disorders]] | ||
[[Category:Tuberculosis]] | [[Category:Tuberculosis]] | ||
[[Category:Disease]] | [[Category:Disease]] | ||
{{WH}} | {{WH}} | ||
{{WS}} | {{WS}} | ||
Latest revision as of 18:47, 18 September 2017
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Pott's disease Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Pott's disease x ray On the Web |
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American Roentgen Ray Society Images of Pott's disease x ray |
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]
- Rarefaction of the vertebral end plates
- Lytic destruction of anterior portion of vertebral body
- Collapse of the vertebral body
- Loss of disc height
- Osseous destruction with osteolytic lesions
- New-bone formation
- 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.
- Presence of calcification in the abscess is highy suggestive of tuberculosis infection.
References
- ↑ 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.
- ↑ 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.