지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2018.1
- 수록면
- 686 - 690 (5page)
이용수
초록· 키워드
오류제보하기
Study Design: Retrospective review. Purpose: The purpose of the present study was to evaluate the role of whole-spine screening using short tau inversion recovery (STIR) or fat-suppressed T2W fast spin echo (FSE) sequences in patients with spinal tuberculosis (TB). Overview of Literature: The identification of noncontiguous multiple-level spinal tuberculosis (NMLST), symptomatic or not, is important because of its management implications. Most centers do not perform routine whole-spine magnetic resonance imaging (MRI), and the reported incidence of NMLST varies from 1.1% to 74.1%. Methods: We completed a retrospective review of clinical and radiographic data of 365 patients with spinal TB who presented at Jawaharlal Nehru Medical College, Aligarh over 5 years. The final analysis included 187 patients who full filled the inclusion criteria, consisting of availability of whole-spine MRI and confirmation of vertebral TB. Diagnosis of NMLST was considered when other vertebral lesions were identified in addition to the primary vertebral disease, with the lesions separated by at least one normal spinal segment. The primary site was defined as the site for which the patient had been referred for MRI. Results: NMLST was identified in 47 of 187 patients investigated using whole-spine MRI. The incidence was 25.1%, which was higher than that in earlier reports where whole-spine MRI was not routinely performed. The lumbar spine was involved in 37 patients, thoracic spine in 25, cervical spine in 16, and sacrum in five patients. Combined lumbar spine and thoracic spine involvement was observed in 19 patients. Thirteen patients had lumbar and cervical spine involvement, nine had thoracic and cervical spine involvement, four had combined lumbar and sacral spine involvement, and the remaining two had thoracic and sacral spine involvement. Conclusions: Tubercular spondylitis may affect the spine at multiple noncontiguous sites with the majority of additional affected sites remaining asymptomatic. Routine whole-spine MRI using all recommended sequences is not cost-effective and hence not feasible. Therefore, we recommend whole-spine screening using STIR or fat-suppressed T2W FSE sequences in all patients with suspected spinal TB. This screening is cost-effective compared with full-protocol MRI and detects additional cases of NMLST over conventional practice.
목차
등록된 정보가 없습니다.
참고문헌 (12)
참고문헌 신청
Reichman LB / 1997 / Tuberculosis elimination: what's to stop us? / Int J Tuberc Lung Dis 1:3~11
Chapman M / 1979 / Tuberculosis of the bones and joints / Semin Roentgenol 14:266~282
Siddiqui MA / 2012 / Isolated tubercular scaphoid osteomyelitis: a case report / Orthop Surg 4:64~66
Kaila R / 2007 / The incidence of multiple level noncontiguous vertebral tuberculosis detected using whole spine MRI / J Spinal Disord Tech 20:78~81
Yalniz E / 2000 / Atypical tuberculosis of the spine / Yonsei Med J 41:657~661
Chapman M / 1979 / Tuberculosis of the bones and joints / Semin Roentgenol 14:266~282
Siddiqui MA / 2012 / Isolated tubercular scaphoid osteomyelitis: a case report / Orthop Surg 4:64~66
Kaila R / 2007 / The incidence of multiple level noncontiguous vertebral tuberculosis detected using whole spine MRI / J Spinal Disord Tech 20:78~81
Yalniz E / 2000 / Atypical tuberculosis of the spine / Yonsei Med J 41:657~661
함께 읽어보면 좋을 논문
논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!
-
Incorporation of Whole Spine Screening in Magnetic Resonance Imaging Protocols for Low Back Pain: A Valuable Addition
Asian Spine Journal
2017 .01
-
The Effects of Pelvis, Lumbar Spine and Cervical Spine Manipulation on Joint Position Sense in Healthy Adults
Journal of international academy of physical therapy research
2018 .01
-
Clinical Utility of Limited T2-Weighted-Only Lumbar Spine MRI in Pain Intervention Clinics
Investigative Magnetic Resonance Imaging
2023 .03
-
Impact of Multidisciplinary Spine Conferences on Surgical Planning and Perioperative Care in Elective Lumbar Spine Surgeries
Asian Spine Journal
2018 .01
-
Robot-Assisted Spine Surgery: A Solution for Aging Spine Surgeons
Neurospine
2018 .01
-
강직성 척추염 환자에서 발생한 일반 방사선 사진으로 확인되지 않은 흉추의 파열골절 1례
대한응급의학회지
2016 .01
-
An Investigative Study on Spine Shape by Gender and Age in Teenagers 10-13 Years Old
신경치료
2015 .01
-
Why Endoscopic Spine Surgery?
Neurospine
2023 .03
-
Concepts and Techniques to Prevent Cervical Spine Deformity After Spine Surgery: A Narrative Review
Neurospine
2023 .03
-
Why Should We Perform Endoscopic Spine Surgery?
Neurospine
2020 .01
-
Spine Surgical Procedures during Coronavirus Disease 2019 Pandemic: Is It Still Possible to Take Care of Patients? Results of an Observational Study in the First Month of Confinement
Asian Spine Journal
2020 .01
-
The Future of Spine Surgery in the Fourth Industrial Revolution: Telerobotic Spine Surgery
Neurospine
2020 .01
-
Introduction to Thoracolumbar Spine Fractures: WFNS Spine Committee Recommendations
Neurospine
2021 .12
-
The Effect of Head Loading on Cervical Spine in Manual Laborers
Asian Spine Journal
2021 .01
-
Clinical Relationship of Degenerative Changes between the Cervical and Lumbar Spine
Asian Spine Journal
2018 .01
-
The Role and Clinical Outcomes of Endoscopic Spine Surgery of Treating Spinal Metastases; Outcomes of 29 Cases From 8 Countries
Neurospine
2023 .06
-
Artificial intelligence: a new cutting-edge tool in spine surgery
Asian Spine Journal
2024 .06
-
Current Trends in Artificial Intelligence-Assisted Spine Surgery: A Systematic Review
Asian Spine Journal
2024 .02
-
Principles for Managing Patients with Spinal Ailments in the Coronavirus Disease 2019 Era: What Do We Know So Far? An Evidence-Based, Narrative Review
Asian Spine Journal
2020 .01
-
Emergence of Three-Dimensional Printing Technology and Its Utility in Spine Surgery
Asian Spine Journal
2018 .01
이 논문의 저자 정보
최근 본 자료
댓글(0)
0