Magnetic resonance evaluation of tubercular lesion in spine.


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.


Int Orthop


Jain AK,Sreenivasan R,Saini NS,Kumar S,Jain S,Dhammi IK




Has Abstract


2012-02-01 00:00:00












  • Experience of a seating clinic.

    abstract::Patients who cannot walk, particularly those with orthopaedic deformities, need more than a simple wheelchair; they require a special seating system. Since the early 1970's many different systems have been introduced to the field of orthotics and prescribed through "Seating Clinics" in many centres in North America an...

    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: Medhat MA,Redford JB

    更新日期:1985-01-01 00:00:00

  • Hip score and disease activity correlation in patients with rheumatoid arthritis after total hip arthroplasty.

    abstract:PURPOSE:The disease activity score including 28 joints (DAS28), the simplified disease activity index and the clinical disease activity index (CDAI) were developed in order to provide a quantifiable measure of rheumatoid arthritis (RA) activity. Although inflamed hip joints greatly impact activities of daily living (AD...

    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: Wakabayashi H,Hasegawa M,Yoshida K,Nishioka K,Sudo A

    更新日期:2013-07-01 00:00:00

  • Effects of Kinesio taping compared to arterio-venous Impulse System™ on limb swelling and skin temperature after total knee arthroplasty.

    abstract:PURPOSE:It is an established fact that post-operative (p.o.) soft-tissue swelling and lymphoedema after total knee arthroplasty (TKA) have a major influence on the p.o. early functional outcome. Kinesio taping has a proven clinical effect in increasing lymph drainage. Despite the decades of experience gained and the as...

    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: Windisch C,Brodt S,Röhner E,Matziolis G

    更新日期:2017-02-01 00:00:00

  • Outcomes after terrible triads of the elbow treated with the current surgical protocols. A review.

    abstract::Dislocation of the elbow associated with radial head and coronoid fracture, the so-called "terrible triad" of the elbow, is challenging to treat and has a history of complicated outcomes. However, advances in the knowledge of elbow kinematics combined with improved implants and surgical techniques during the past few ...

    journal_title:International orthopaedics

    pub_type: 杂志文章,评审


    authors: Rodriguez-Martin J,Pretell-Mazzini J,Andres-Esteban EM,Larrainzar-Garijo R

    更新日期:2011-06-01 00:00:00

  • Anterior thigh pain after cementless total hip arthroplasty.

    abstract::We compared the incidence of anterior thigh pain retrospectively following primary uncemented total hip replacement in 70 patients (78 hips) with osteoarthritis. In one group (38 hips), an Endoplus porous-coated, canal-filling prosthesis was inserted through an anterolateral approach. In the other group (40 hips), a F...

    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: Faraj AA,Yousuf M

    更新日期:2005-06-01 00:00:00

  • The dual mobility cup in muscular skeletal oncology: rationale and indications.

    abstract:PURPOSE:Because of the improvement of medical therapy and the corresponding increase in life expectancy, orthopaedic surgeons are obliged to perform more wide resections rather than intramedullary stabilization nailing for patients affected by tumours of the hip compared to the past. Wide resection often causes joint i...

    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: Zoccali C,Attala D,Scotto di Uccio A,Rossi B,Scotto G,Biagini R

    更新日期:2017-03-01 00:00:00

  • Extremity amputation: how to face challenging problems in a precarious environment.

    abstract:PURPOSE:Indications for amputation in natural disasters are not the same compared to our daily practice. They must be determined by those with great surgical experience and good knowledge of military or disaster surgical doctrine. Unfortunately, nowadays few surgeons have this experience. In fact, some volunteer surgeo...

    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: Rigal S

    更新日期:2012-10-01 00:00:00

  • Free vascularised fibular grafting with OsteoSet®2 demineralised bone matrix versus autograft for large osteonecrotic lesions of the femoral head.

    abstract::The aim of this study was to compare the safety and efficacy of OsteoSet®2 DBM with autologous cancellous bone in free vascularised fibular grafting for the treatment of large osteonecrotic lesions of the femoral head. Twenty-four patients (30 hips) with large osteonecrotic lesions of the femoral head (stage IIC in si...

    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: Feng Y,Wang S,Jin D,Sheng J,Chen S,Cheng X,Zhang C

    更新日期:2011-04-01 00:00:00

  • Function and activity after minimally invasive total hip arthroplasty compared to a healthy population.

    abstract:PURPOSE:The aim of the present study was to compare the daily activity and functionality in a patient cohort 12 months after total hip arthroplasty (THA) using a direct anterior approach with a healthy non-operated control population. METHODS:Sixty-four patients who underwent THA and 59 healthy individuals (control) w...

    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: von Rottkay E,Rackwitz L,Rudert M,Nöth U,Reichert JC

    更新日期:2018-02-01 00:00:00

  • Concentrated autologous bone marrow aspirate transplantation treatment for corticosteroid-induced osteonecrosis of the femoral head in systemic lupus erythematosus.

    abstract::The purpose of this study was to evaluate concentrated autologous bone marrow aspirate transplantation (CABMAT) treatment for corticosteroid-induced osteonecrosis of the femoral head (ONFH) in systemic lupus erythematosus (SLE). Bone marrow was aspirated from iliac crests, concentrated on a conventional manual blood b...

    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: Yoshioka T,Mishima H,Akaogi H,Sakai S,Li M,Ochiai N

    更新日期:2011-06-01 00:00:00

  • Vertically unstable sacral fractures with neurological insult: outcomes of surgical decompression and reconstruction plate internal fixation.

    abstract::During a 4-year period, 32 patients with type C unstable sacral fractures were treated in our university hospital. All patients had neurological deficits as a result of their sacral fracture. The average age was 31.2 (range 22-54) years and the average Hannover Polytrauma Score (PTS) was 24 (range 19-40) points. Twelv...

    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: Ayoub MA

    更新日期:2009-02-01 00:00:00

  • Clinical experience of Al2O3 ceramics as a surgical implant.

    abstract::The authors have treated 75 patients with various orthopaedic disorders including trauma, degenerative joint disease and tumours with ceramic surgical implants. A short account of the experience gained, together with some illustrative clinical cases is presented. Supplementary laboratory experiments have shown that Al...

    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: Ooi Y,Suka T,Satoh Y,Shibuya K,Ohki I,Masubuchi M,Mikanagi K

    更新日期:1982-01-01 00:00:00

  • Evaluation of joint thickness in the hip before and after osteotomy using three-dimensional modelling.

    abstract::Joint thickness was assessed using three-dimensional modelling techniques before and after the Bombelli intertrochanteric valgus-extension osteotomy. Before operation, the average thickness of the entire hemispherical surface was 2.3 mm, which was significantly thinner than that of the controls. After operation, 11 of...

    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: Yoshida K,Konishi N,Iwata H

    更新日期:1995-01-01 00:00:00

  • The Blauth total knee endoprosthesis. Eighteen years' experience in practice.

    abstract::A distinction must be drawn between the older constrained prostheses, in which load was transferred via metal-coated hinges, and later models using the low-friction principle, where the axle is not load bearing. The latter show good long-term results. The greater stability of constrained prosthesis allows earlier and ...

    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: Maronna U

    更新日期:1993-08-01 00:00:00

  • Quantitative CT-assisted osteodensitometry of femoral adaptive bone remodelling after uncemented total hip arthroplasty.

    abstract::The aim of this prospective study was to measure bone density changes and to assess adaptive bone remodelling after uncemented total hip arthroplasty with a taper-design femoral component using quantitative computer-tomography-assisted osteodensitometry. This method is able to differentiate cortical and cancellous bon...

    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: Pitto RP,Bhargava A,Pandit S,Walker C,Munro JT

    更新日期:2008-10-01 00:00:00

  • A comparison of three lateral approaches in primary total hip replacement.

    abstract::Three different lateral approaches for a Charnley total hip replacement were studied in 264 operations. The transtrochanteric approach was used in 94, the Liverpool in 88 and the Hardinge in 82. The mean follow up was 2.6 years (range 2 to 3 years). The clinical result was the same in each group. Radiographs showed th...

    journal_title:International orthopaedics

    pub_type: 临床试验,杂志文章


    authors: Pai VS

    更新日期:1997-01-01 00:00:00

  • Anterior cruciate ligament reconstruction: the diagnostic value of MRI.

    abstract::A prospective study was carried out in order to evaluate the predictive value of MRI in the early postoperative course after cruciate ligament replacement. Twenty patients who had undergone anterior cruciate ligament reconstruction using autologous patellar tendon/bone grafts were examined clinically and with contrast...

    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: Stöckle U,Hoffmann R,Schwedke J,Lubrich J,Vogl T,Südkamp NP,Haas N

    更新日期:1998-01-01 00:00:00

  • The anti-rheumatic effect of multiple synovectomy in patients with refractory rheumatoid arthritis.

    abstract::We assessed the anti-rheumatic effects of radical multiple synovectomy (RaMS) in patients with rheumatoid arthritis (RA) who did not respond to intensive medical treatment. The selection of patients into three groups, A, B or C, was randomised. Patients assigned to group A (n = 28) continued the prescribed pre-operati...

    journal_title:International orthopaedics

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Nakamura H,Nagashima M,Ishigami S,Wauke K,Yoshino S

    更新日期:2000-01-01 00:00:00

  • Fibula head is a useful landmark to predict the location of posterior cruciate ligament footprint prior to total knee arthroplasty.

    abstract:PURPOSE:The hypothesis of our study is that a routine tibial cut during cruciate retaining TKA may result in a partial or a total removal of the PCL footprint. Therefore providing a reliable landmark is essential to estimate the probability of PCL damage with a tibial cut and to enable the surgeon to decide pre-operati...

    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: Jawhar A,Wasnik S,Scharf HP,Roehl H

    更新日期:2014-02-01 00:00:00

  • Pneumatic compression with foot pumps facilitates early postoperative mobilisation in total knee arthroplasty.

    abstract::Deep-vein thrombosis (DVT) and pulmonary embolism (PE) represent life-threatening postoperative complications frequently responsible for in-hospital mortality following total knee arthroplasty (TKA). Mechanical prophylaxis in the form of a foot pump offers an alternative to pharmacological and physical therapy. The ai...

    journal_title:International orthopaedics

    pub_type: 杂志文章,随机对照试验


    authors: Windisch C,Kolb W,Kolb K,Grützner P,Venbrocks R,Anders J

    更新日期:2011-07-01 00:00:00

  • Skeletal deformities induced by the intraperitoneal administration of deoxynivalenol (vomitoxin) in mice.

    abstract::The contamination of drinking water by organic acids, selenium deficiency and the ingestion of fungal mycotoxins are the three main aetiological factors in the development of Kashin-Beck disease. An avian tibial chondrodysplasia induced by mycotoxins has been reported. Deoxynivalenol (DON) is one of many mycotoxins pr...

    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: Debouck C,Haubruge E,Bollaerts P,van Bignoot D,Brostaux Y,Werry A,Rooze M

    更新日期:2001-01-01 00:00:00

  • Synovial sarcoma: a clinicopathological review.

    abstract::We have reviewed 20 cases of synovial sarcoma. The main clinical and pathological features of these cases are outlined. Typically these tumours arise in the leg in young adults with a long history before presentation and diagnosis. Clinical and radiological findings are unhelpful in making an early diagnosis. The five...

    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: Henderson SA,Davis R,Nixon JR

    更新日期:1991-01-01 00:00:00

  • The natural history of a newly developed flexion contracture following primary total knee arthroplasty.

    abstract:PURPOSE:We investigated the incidence, natural history, and functional consequences of a newly developed flexion contracture after total knee arthroplasty (TKA). METHODS:Forty patients with full knee extension preoperatively who developed a postoperative flexion contracture were match-paired 1:2 with 80 patients who h...

    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: Anania A,Abdel MP,Lee YY,Lyman S,González Della Valle A

    更新日期:2013-10-01 00:00:00

  • Complications and technical problems with the gamma nail.

    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


    authors: Albareda J,Laderiga A,Palanca D,Paniagua L,Seral F

    更新日期:1996-01-01 00:00:00

  • Total knee arthroplasty in advanced tuberculous arthritis of the knee.

    abstract:BACKGROUND:Controversies regarding the treatment of advanced tuberculosis of the knee still exist. We retrospectively investigated protocols of total knee arthroplasty (TKA) and their efficacy in patients with advanced tuberculosis. METHODS:Nine TKAs associated with advanced tuberculosis were performed at our institut...

    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: Zeng M,Xie J,Wang L,Hu Y

    更新日期:2016-07-01 00:00:00

  • Solitary metastasis of the patella as the first manifestation of lung cancer. A case report.

    abstract::A man of 71 was seen with a solitary metastasis in the patella as the first presentation of carcinoma of the lung. ...

    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: Pazzaglia UE,Barbieri D,Cherubino P

    更新日期:1989-01-01 00:00:00

  • The influence of the medial meniscus in different conditions on anterior tibial translation in the anterior cruciate deficient knee.

    abstract:PURPOSE:The purpose of this study was the evaluation of knee laxity in the ACL-deficient knee with combined meniscal tear, meniscal suture and partial medial meniscectomy. METHODS:Kinematics of the intact knee were determined in 18 human cadaver specimens in response to a 134-N anterior tibial load (aTT) as well as a ...

    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: Lorbach O,Kieb M,Herbort M,Weyers I,Raschke M,Engelhardt M

    更新日期:2015-04-01 00:00:00

  • Kinematic factors affecting postoperative knee flexion after cruciate-retaining total knee arthroplasty.

    abstract:PURPOSE:The purpose of this study was to investigate kinematic factors affecting postoperative knee flexion after cruciate-retaining (CR) total knee arthroplasty (TKA) by analysing pre- and postoperative knee kinematics. METHODS:We retrospectively analysed 58 patients with osteoarthritis who received the same implant ...

    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: Matsuzaki T,Matsumoto T,Muratsu H,Kubo S,Matsushita T,Kawakami Y,Ishida K,Oka S,Kuroda R,Kurosaka M

    更新日期:2013-05-01 00:00:00

  • Gait characteristics before hardware removal in patients operated upon for tibial plateau fractures.

    abstract:PURPOSE:The reporting of gait analysis data on operated fractures of the tibial plateau, while extensive for studies of knee osteoarthritis of mostly undisclosed aetiology and ACL deficient knees, is rather limited in literature. METHODS:In the present study we investigated 25 tibial plateau fractures classified as Sc...

    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: Deleanu B,Prejbeanu R,Crisan D,Predescu V,Popa I,Poenaru DV

    更新日期:2015-07-01 00:00:00

  • Manipulation under anaesthesia for frozen shoulder in patients with and without non-insulin dependent diabetes mellitus.

    abstract::Manipulation under anaesthesia (MUA) has been used to speed up recovery. However, the outcome of frozen shoulder after MUA in patients with diabetes has not been well documented in the past. A higher prevalence of frozen shoulder has been reported in diabetes mellitus (DM) patients. In this study, we revealed the shor...

    journal_title:International orthopaedics

    pub_type: 杂志文章


    authors: Wang JP,Huang TF,Ma HL,Hung SC,Chen TH,Liu CL

    更新日期:2010-12-01 00:00:00