TITLE:
The Comparison of the Manifestation of the Clinical Imageology and Pathology between the Brucellar Spondylitis and the Spine Turberculosis
AUTHORS:
Xinming Yang, Xianyong Meng, Wei Shi, Yakun Du, Lei Zhang, Yaoyi Wang
KEYWORDS:
Brucellosis Spondylitis; Turberculosis of the Spine; Tomography; X-Ray Computed; Magnetic Resonance Imaging; Pathology
JOURNAL NAME:
Surgical Science,
Vol.5 No.2,
February
18,
2014
ABSTRACT:
Objective: To
improve the clinical differential diagnosis level, the clinical manifestation of the brucellar
spondylitis and the spine turberculosis were discussed in this paper. Method: The study was completed in the No. 1 Affiliated Hospital of Hebei North University in Zhangjiakou City,
Hebei Province, China,
from January 2001 to December 2013 by Analyzing the
X-ray, CT scanning and MRI of 257 cases of the brucellar spondylitis retrospectively
and comparing with the
clinical imageology and pathology 332 cases of turberculosis of the spine diagnosed
finally. Results: The
brucellar spondylitis: The focuses usually locate in the lumbar vertebra and L4, 5 has the highest occurrence rate. The focuses
are often small but multiple, and limited to the edge of the vertebra.
Hyperostosis and osteoscterosis are usually found in the tissuses around the
focuses. There are often new focuses in the newborn bones, and the destruction
of intervertebral discs is usually slight. Hyperostosis and osteoscterosis
might be found in the surfaces of the joints. The densites of the bones close
to the focuses become high. There were less or no paravertebral abscesses but
inflammational granuloma can be found frequently. Turberculosis of the spine: The focuses are usually located in the thoracic
and lumbar vertebra, and are characterized by the destruction of the vertebra
and the intervertebral discs, accompanied by the appearance of dead bones. In
most cases, paravertebral abscesses and osteoporosis might be found. Conclusions: The specific manifestation of the
clinical imageology can help to differentiate the brucelar spondylitis from the
turberculosis of the spine.