Abstract:
PURPOSE:Information on Magnetic Resonance (MR) features of active and healed lesions in tuberculosis (TB) spine are lacking. We evaluated MRI findings in active and healed proven TB spine to establish the diagnostic features. MATERIALS AND METHOD:Forty-nine consecutive spinal TB patients (20 male; 29 female) diagnosed clinicoradiologically and/or on histopathology, Fine Needle Aspiration Cytology (FNAC), bacteriology, or Polymerase Chain Reaction (PCR) were enrolled. Pretreatment MR scans were reviewed for diagnostic features, and eight-month follow-up MR scans were reviewed for healing changes. RESULTS:Cervical spine (n = 6), dorsal spine (n = 14), and lumbar spine (n = 29) were affected. Fourteen had paraplegia. Mean vertebrae involved were 2.61 on X-ray with a total of 128 vertebrae (VB) and 3.2 on MRI (range, 2-15) with 161 VB. The lesions were more extensive on MRI (34.7%) than appreciated on X-ray. The disc was preserved partially or fully in 88.2% of instances. End plate erosions (159/161 VB), lost VB height (94/161), exudative lesion (158/161), granular lesion (3/161), pre and paravertebral collections (49/49 cases), marrow oedema (161/161), discitis (98%), epidural involvement (107/161), epidural spread (100/161), and subligamentous spread (156/161) were observed. Canal encroachment (10-90%) was seen in 37 cases. Mean motor and sensory scores with greater than 50% canal encroachment were 87/100 and 156/168, respectively. Cord oedema was observed in 11 cases (eight with neural deficit and three cases without). Cord atrophy was seen in one case each before and after treatment. A total of 83% of patients had a combination of paravertebral collections, marrow oedema, subligamentous and epidural extension, endplate erosions and discitis. On healing (n = 20), complete resolution of marrow oedema and collections, fatty replacement of bone marrow and resolution of cord signal intensity were observed. CONCLUSION:The marrow oedema, preservation of disc space, subligamentous extension of abscess, septate paravertebral abscess, epidural extension, endplate erosions and discitis were consistently observed in 83% cases of TB spine on MRI.
journal_name
Int Orthopjournal_title
International orthopaedicsauthors
Jain AK,Sreenivasan R,Saini NS,Kumar S,Jain S,Dhammi IKdoi
10.1007/s00264-011-1380-xsubject
Has Abstractpub_date
2012-02-01 00:00:00pages
261-9issue
2eissn
0341-2695issn
1432-5195journal_volume
36pub_type
杂志文章abstract::Hyperostosis of the spine, Forestier's disease, is a rare, but well defined entity which results from silent, extensive paraspinal calcification. It has been regarded as an asymptomatic ankylosis requiring no medical or surgical treatment. Two patients with Forestier's disease are presented who show severe stenosis of...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00267561
更新日期:1983-01-01 00:00:00
abstract::A retrospective review of complications with the gamma nail has been carried out in 152 patients with stable and unstable pertrochanteric fractures. Operative complications occurred in 10 patients. Screws penetrated the femoral neck in 3, immediate varus was associated with a short screw in 2, diaphyseal fractures occ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640050026
更新日期:1996-01-01 00:00:00
abstract:PURPOSE:The failure of total hip systems caused by wear-particle-induced loosening has focused interest on factors potentially affecting wear rate. Remnants of the blasting material were reported on grit-blasted surfaces for cementless fixation. These particles are believed to cause third-body wear and implant loosenin...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-013-2135-7
更新日期:2014-04-01 00:00:00
abstract:PURPOSE:YouTube is increasingly becoming a key source for people to satisfy the need for additional information concerning their medical condition. This study analyses the completeness of accurate information found on YouTube pertaining to hip arthritis. METHODS:The present study analyzed 133 YouTube videos using the ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-016-3174-7
更新日期:2016-10-01 00:00:00
abstract::We have studied the incidence of deep wound infection after hip fracture surgery and its relationship to urinary catheterisation. Infection after hemiarthroplasty occurred in 16/949 cases and 10/1,143 sliding hip screw fixations. No cases of deep sepsis were seen for the 203 patients treated with an intramedullary nai...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-006-0227-3
更新日期:2007-08-01 00:00:00
abstract::We treated 20 patients with symptomatic L4-5 isthmic spondylolisthesis (ten grade I, nine grade II and one grade III) surgically. All patients complained of low back pain and nine had additional radicular pain. Bilateral posterolateral fusion using the sacrospinalis muscle as a muscle pedicle bone graft was carried ou...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s002640100269
更新日期:2001-01-01 00:00:00
abstract:PURPOSE:Total hip arthroplasty (THA) is an effective procedure for developmental dysplasia of the hip (DDH); however, it is sometimes difficult to complete for severe cases because of femoral head dislocation, dysplasia of the acetabulum and the femur, disparity in limb length, soft tissue contraction, and muscular atr...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-012-1622-6
更新日期:2012-09-01 00:00:00
abstract::In a prospective and randomised clinical study, acetabular cups were implanted free-hand (control group n=22) or with computer assistance using an image-free navigation system (study group n=23). The cup position was determined postoperatively on pelvic CT. An average inclination of 42.3 degrees (range: 30 degrees -53...
journal_title:International orthopaedics
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00264-005-0671-5
更新日期:2005-10-01 00:00:00
abstract:PURPOSE:The management of calcaneal fractures remains challenging and often controversial. Open reduction and internal fixation with a lateral plate has been established as a standard therapy for displaced articular fractures. However, accurate subtalar joint reduction, while mandatory, is difficult to achieve, require...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-011-1249-z
更新日期:2011-07-01 00:00:00
abstract::The purpose of this study was to assess the referral system, clinical notes and radiographs of patients presenting with metastatic disease of long bones. The study demonstrated that 93% of oncologists did not use a reliable scoring system to assess risk of pathological fracture, and 60% felt an improvement in communic...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-008-0556-5
更新日期:2009-04-01 00:00:00
abstract::We aimed to discover whether there is a difference in incidence of growth disturbances of the proximal femoral epiphysis and final results in two similar groups of children with developmental dislocation of the hip (DDH) treated with (107 hips) and without (48 hips) overhead traction. The only variable between the gro...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-006-0080-4
更新日期:2006-08-01 00:00:00
abstract::Computer-assisted surgery (CAS) in total knee arthroplasty (TKA) could be useful in reducing the overall blood loss. A prospective randomised study was performed with two groups of 50 patients each of whom were treated for knee arthritis. Patients of group A were treated by a conventional standard procedure, while for...
journal_title:International orthopaedics
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00264-008-0651-7
更新日期:2009-12-01 00:00:00
abstract:PURPOSE:Although there are various new scaffold-based techniques for cartilage regeneration it remains unclear up to which defect size they can be used. The present study reports of a cell-free collagen type I gel matrix for the treatment of large cartilage defects of the knee after a two-year follow-up. METHODS:Twent...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-015-2695-9
更新日期:2015-12-01 00:00:00
abstract:PURPOSE:Dislocations of components, loosening of the stem, overstuffing and removal in up to 24 % of common radial head prostheses (RHP) after implantation in complex elbow injuries signal the need for improvement. The latest biomechanical evidence shows advantages for monopolar designs. Clinical results after primary ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-012-1747-7
更新日期:2013-04-01 00:00:00
abstract:PURPOSE:Our aim was to evaluate quality of life (QoL) and functional outcome of patients with tibial nonunions after completion of surgical treatment with an average follow-up of five years. METHODS:The following data of 64 patients were retrospectively evaluated: fracture type, type and duration of surgical therapy, ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-014-2629-y
更新日期:2015-03-01 00:00:00
abstract::The patella clunk syndrome is not an uncommon complication, particularly after posterior-stabilized (PS) total knee arthroplasty. The present study was a consecutive unselected series comparing the incidence of the patella clunk syndrome amongst two comparable groups of elderly patients with knee arthritis implanted w...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-001-0316-2
更新日期:2002-01-01 00:00:00
abstract::Subluxation of the patella may produce pain and instability in young people. However its classification, diagnosis and treatment are controversial. We have used computerized tomography (CT) to measure the amount of lateral shift of the patella and the angle of tilt to the femur in patients with subluxation. The mean l...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:
更新日期:1986-01-01 00:00:00
abstract::Forty-five patients with Paget's disease were studied, of whom 25 had fissure fractures affecting the bones of the lower limb. Ten patients treated with salmon calcitonin showed no improvement in their fissure fractures despite reduction in bone turnover. Treatment was effective where bone deformity was improved by tr...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00267839
更新日期:1981-01-01 00:00:00
abstract:AIM OF THE STUDY:To determine if pre-operative radiologic minimal joint space width (mJSW) is related to the outcome of total knee arthroplasty (TKA) (primary hypothesis). Likewise, the aim was to test if pre-operative mJSW is related to prosthesis survival (secondary hypothesis). METHODS:A retrospective comparative a...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-018-4185-3
更新日期:2019-08-01 00:00:00
abstract:PURPOSE:We reviewed data to determine outcomes for 21 consecutive Vancouver type B1 or type C periprosthetic fractures that we treated between 2001 and 2008 using a nickel-titanium shape-memory sawtooth-arm embracing fixator. METHODS:The study participants were 12 men and 9 women (mean age, 70.8 years; range, 42-85 ye...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-011-1325-4
更新日期:2012-03-01 00:00:00
abstract::A woman aged 31 had an ameloblastoma of the inferior part of the maxilla treated by excision and a bone graft from the iliac crest. Nine years later she presented with a metastasis from the tumour at the donor site. Metastases from an ameloblastoma are rarely encountered. In this case there might have been contaminati...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00180180
更新日期:1994-02-01 00:00:00
abstract:PURPOSE:The purpose of the study was to evaluate the treatment of five patients with proximal tibial epiphysis preserving resection for malignant tumours of the tibia. METHOD:Three patients suffered from Ewing sarcoma, two had osteosarcoma. The proximal level of the resection was in the line of the growth plate in fou...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-012-1731-2
更新日期:2013-01-01 00:00:00
abstract:BACKGROUND AND PURPOSE:There is no consensus on the optimal surgical procedure for treating Neer type-2 distal clavicle fractures. Hook plates provide better stability than other fixation methods for small fragments but have been related to multiple complications. METHODS:Retrospective study on patients operated for N...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-018-4108-3
更新日期:2019-07-01 00:00:00
abstract:PURPOSE:Although injuries sustained during ice skating have been reported to be more serious than other forms of skating, the potential injury risks are often underestimated by skating participants. The purpose of this study was to give a descriptive overview of injury patterns occurring during ice skating. Special emp...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-014-2488-6
更新日期:2015-01-01 00:00:00
abstract:PURPOSE:The purpose of this study was to evaluate whether femoral antetorsion affects the range of motion (ROM) following total hip arthroplasty (THA) using 3D dynamic analysis. METHODS:Using 3D computed tomography (CT) data of 71 patients (71 hips) who underwent THA, we calculated antetorsion of the femoral neck, fle...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-014-2452-5
更新日期:2015-01-01 00:00:00
abstract:PURPOSES:We investigated sequential levels of C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR) in uncomplicated ACDF (anterior cervical discectomy and fusion) using allograft and DBM (demineralised bone matrix) for primary cervical spondylosis and/or disc herniation. To our knowledge, there has been no...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-012-1645-z
更新日期:2012-11-01 00:00:00
abstract::Chronic back pain often leads to permanent disability and-apart from significant human suffering-also creates immense economic costs. There have been numerous epidemiological studies focussing on the incidence and the course of chronic low back pain. Less attention has been paid to the impact of subjective perception ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-010-1081-x
更新日期:2011-05-01 00:00:00
abstract:PURPOSE:In prosthetic joint infections (PJIs) of the knee, debridement with implant retention is associated with a high risk of recurrence. METHODS:A single-centre cohort study was performed with extensive analysis of the literature covering 1980-2012. RESULTS:In 21 patients (mean age 80.4 years, 19 immunosuppressed)...
journal_title:International orthopaedics
pub_type: 杂志文章,评审
doi:10.1007/s00264-013-1923-4
更新日期:2013-08-01 00:00:00
abstract:PURPOSE:The aim of this study was to compare the results of primary total knee arthroplasty with or without patelloplasty. METHODS:We retrospectively reviewed 89 patients who had received total knee arthroplasty. In patelloplasty, the patellar cartilage was resected using a tangential saw cut, and in the traditional t...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-014-2366-2
更新日期:2014-08-01 00:00:00
abstract:PURPOSE:Since the introduction of autologous chondrocyte implantation (ACI) for the treatment of cartilage defects, the initial technique has undergone several modifications. Whereas an autologous periosteum flap was used for defect coverage in first generation ACI, a standardized collagen membrane was utilized in seco...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-014-2368-0
更新日期:2014-10-01 00:00:00