Asian Spine J.  2014 Apr;8(2):216-223. 10.4184/asj.2014.8.2.216.

Comparison of Pyogenic Spondylitis and Tuberculous Spondylitis

• Lee KY

• KMID: 2270379
• DOI: http://doi.org/10.4184/asj.2014.8.2.216

Abstract

Pyogenic spondylitis and tuberculous spondylitis are common causes of spinal infection. It is difficult to differentiate tuberculous spondylitis and pyogenic spondylitis clinically and radiologically. Recently magnetic resonance imaging has been reported to be beneficial for early diagnosis and differential diagnosis of the spondylitis, and is being used extensively for diagnosis. However, the diagnosis must be considered in combination with corresponding changes in clinical manifestations, radiological findings, blood and tissue cultures and histopathological findings. Conservative treatments, including antimicrobial medications, are started initially. Surgical treatments, which include anterior or posterior approach, single-stage or two-stage surgery, with or without instrumentation, may be performed as indicated.

Keyword

Pyogenic spondylitis; Tuberous spondylitis; Differential diagnosis

MeSH Terms

Diagnosis
Diagnosis, Differential
Early Diagnosis
Magnetic Resonance Imaging
Spondylitis*