Pott's disease x ray: Difference between revisions

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Plain radiographs provide minimal information about the extent of the disease but is a good initial investigation to look for bony and intervertebral disc abnormalities.  
Plain radiographs provide minimal information about the extent of the disease but is a good initial investigation to look for bony and intervertebral disc abnormalities.  
==X Ray==
==X Ray==
X ray of the [[spine]]: Radiographic changes associated with Pott's disease present relatively late. The following are radiographic changes characteristic of spinal [[tuberculosis]] on plain radiography:
Plain radiographs of the spine demonstrate changes suggestive of spinal tuberculosis in majority of the patients, therefore it is a good investigation in a;; 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 and may involve multiple vertebra:
*Rarefaction of the vertebral end plates
*Lytic destruction of anterior portion of [[vertebral body]]
*Lytic destruction of anterior portion of [[vertebral body]]
*Increased anterior wedging
*Collapse of the vertebral body
*Collapse of [[vertebral body]]
*Loss of disk height
*Reactive [[sclerosis]] on a progressive lytic process
*Osseous destruction
*Enlarged psoas shadow with or without [[calcification]]
*New-bone formation
*Osteoporotic vertebral end plates
*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.
*Shrunk or destroyed [[intervertebral disk]]s
*Presence of calcification in the abscess is highy suggestive of tuberculosis infection.
*Fusiform paravertebral shadows suggestive of [[abscess]] formation
*[[Bone]] lesions may occur at more than one level.


==References==
==References==

Revision as of 15:49, 23 March 2017

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Plain radiographs provide minimal information about the extent of the disease but is a good initial investigation to look for bony and intervertebral disc abnormalities.

X Ray

Plain radiographs of the spine demonstrate changes suggestive of spinal tuberculosis in majority of the patients, therefore it is a good investigation in a;; 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 and may involve multiple vertebra:

  • Rarefaction of the vertebral end plates
  • Lytic destruction of anterior portion of vertebral body
  • Collapse of the vertebral body
  • Loss of disk height
  • Osseous destruction
  • 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

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