Bone scintigraphy in tuberculous spondylodiscitis

被引:0
作者
H. G. Pandit
P. D. Sonsale
S. S. Shikare
S. Y. Bhojraj
机构
[1] 11,
[2] York House,undefined
[3] Queen Alexandra Hospital,undefined
[4] Cosham,undefined
[5] Portsmouth PO6 3LY,undefined
[6] UK,undefined
[7] Derbyshire Royal Infirmary,undefined
[8] Derby,undefined
[9] UK,undefined
[10] B. Nanavati Hospital,undefined
[11] Bombay,undefined
[12] India,undefined
[13] Neurospinal Unit,undefined
[14] P.D Hinduja Hospital,undefined
[15] Bombay,undefined
[16] India,undefined
来源
European Spine Journal | 1999年 / 8卷
关键词
Key words Bone scintigraphy; Tuberculous spondylodiscitis; Sensitivity and specificity;
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摘要
Tuberculous affection of the spine can present in different ways. Plain radiographs may fail to show any abnormality. Bone scintigraphy can be a very useful tool in the diagnosis and management of patients with tuberculous spondylodiscitis. This is a retrospective study of 40 patients in whom bone scan was performed using 99mTc-MDP (technetium methylene diphosphonate) before starting anti-tuberculous therapy or any surgical intervention. Four different types of uptake were noted. The uptake was abnormal in 38 out of 40 patients, giving a sensitivity of 95%. Multicentricity was picked up in 25% of cases. No skull lesion was noticed in any of these patients. Rib lesions were found in six patients (ten ribs affected). The rib lesion was always a typical band pattern. This paper outlines the advantages as well as limitations of bone scan in tuberculous affection of the spine.
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页码:205 / 209
页数:4
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