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:PURPOSE:We reviewed our experience with the management of B2 and B3 femoral periprosthetic fractures using a distally fixed modular femoral stem in 55 patients. METHODS:All periprosthetic fractures were managed immediately after injury without using allograft; 53 hips were available for a mean follow up of 67 months. ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-011-1371-y
更新日期:2012-05-01 00:00:00
abstract:PURPOSE:Sciatic nerve palsy after periacetabular osteotomy (PAO) is a serious complication. The purpose of this study was to determine whether a multimodal sciatic monitoring technique allows for identification of surgical steps that place the sciatic nerve at risk. METHODS:Transcranial electrical motor evoked potenti...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-016-3394-x
更新日期:2017-08-01 00:00:00
abstract:INTRODUCTION:We hypothesised that the use of a polyaxial locking plate design offers the same clinical benefits as a monoaxial locking plate system following distal femoral osteoporotic/periprosthetic fracture fixation. METHOD:A multicentre prospective randomised pilot trial was conducted. Inclusion criteria were pati...
journal_title:International orthopaedics
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1007/s00264-018-4061-1
更新日期:2019-05-01 00:00:00
abstract::Four cases of the anterior interosseous nerve syndrome, which were treated by neurolysis, are added to the sixty-five already described in the literature. The onset of symptoms is usually spontaneous and electrophysiological examination is of value in making the diagnosis. The most frequent cause of the entrapment is ...
journal_title:International orthopaedics
pub_type: 杂志文章,评审
doi:10.1007/BF00268047
更新日期:1989-01-01 00:00:00
abstract:PURPOSE:To investigate the effects of genetic factors on idiopathic scoliosis (IS) and genetic modes through genetic epidemiological survey on IS in Chongqing City, China, and to determine whether SH3GL1, GADD45B, and FGF22 in the chromosome 19p13.3 are the pathogenic genes of IS through genetic sequence analysis. MET...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-011-1419-z
更新日期:2012-06-01 00:00:00
abstract::Traumatic thumb defects significantly affect the function and appearance of the hand; thus, thumb reconstruction is very important in clinical practice. In our report, three reconstruction strategies of toe-to-thumb transplantation, based on the amputation level of the thumb, were used for immediate thumb reconstructi...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-010-1044-2
更新日期:2011-04-01 00:00:00
abstract:PURPOSE:Traditionally, valgus knee deformity is predominately corrected by stabilisation with a plate inserted via the medial approach to the supracondylar region of the femur. However, this technique is unfavourable from both a biomechanical and a biological point of view. A revised retrograde dynamic locked nailing w...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-012-1495-8
更新日期:2012-06-01 00:00:00
abstract::The original publication of this paper contain an error for the first name and last name of the second author have been mixed up as "Wenliang, Z.". ...
journal_title:International orthopaedics
pub_type: 杂志文章,已发布勘误
doi:10.1007/s00264-018-3948-1
更新日期:2018-07-01 00:00:00
abstract::Percutaneous bone grafting with a specially devised milling cutter was used in 21 patients with nonunion or delayed union of fractures of the tibial shaft. Union was obtained in 18. The technique is safe, simple and can be done under local anaesthesia. ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00181707
更新日期:1993-11-01 00:00:00
abstract::We developed a locking screw plate system for the stabilisation of distal radial fractures, which can be inserted through a standard volar approach and in which the locking mechanism allows early post-operative mobilisation. Forty-nine patients with 50 fractures underwent surgical treatment; 66% were type C fractures....
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-002-0393-x
更新日期:2003-01-01 00:00:00
abstract:PURPOSE:To assess whether reaction time (RT) and movement time (MT), as the two components of the total brake response time (TBRT) and brake force (BF) are different in patients with a foot joint arthrodesis in comparison to controls. METHODS:The study was a comparative case series in a driving simulator under realist...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-015-2789-4
更新日期:2015-07-01 00:00:00
abstract:BACKGROUND:Heterotopic ossification (HO) may lead to complete elbow ankylosis, resulting in severe disability. The prognostic factors that may be valuable in guiding treatment of this condition have not yet been evaluated. The goals of this study were to describe the outcomes of open release for ankylosed elbow caused ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-016-3395-9
更新日期:2017-08-01 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:10.1007/BF00267752
更新日期:1986-06-01 00:00:00
abstract:PURPOSE:The purpose of this study was to determine the location of the anterior humeral circumflex artery and axillary nerve based on bony landmarks, and to provide anatomical information that enables a safe approach when treating a proximal humeral fractures. METHODS:Thirty cadavers were included. The distances of bo...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-011-1394-4
更新日期:2012-04-01 00:00:00
abstract:PURPOSE:To assess functional outcomes in patients undergoing total knee arthroplasty (TKA) without previous corrective osteotomy for treatment of knee osteoarthritis associated with extra-articular deformity. METHODS:From January to December 2016, patients with knee osteoarthritis with extra-articular deformities who ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-018-4147-9
更新日期:2019-09-01 00:00:00
abstract::The surgical benefit of minimally invasive tendo Achilles repair (n = 25) with early weight-bearing mobilisation after rupture of the tendo Achilles was compared with operative treatment using an open technique (n = 34) with full weight-bearing after 8 weeks of surgical repair. The minimally invasive technique provide...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-008-0564-5
更新日期:2009-02-01 00:00:00
abstract:PURPOSE:The purpose of this study was to compare bone healing of experimental osteotomies applying either piezosurgery or two different oscillating saw blades in a rabbit model. METHODS:The 16 rabbits were randomly assigned into four groups to comply with observation periods of one, two, three and five weeks. In all a...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-013-1908-3
更新日期:2013-08-01 00:00:00
abstract::Two cases of septic loosening due to a tuberculosis infection occurred 18 months and 14 years after total hip arthroplasties. The primary source was pulmonary tuberculosis. Treatment was by removal of the prosthesis and radical debridement with the local implantation of gentamicin PMMA beads, followed by antituberculo...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00184916
更新日期:1995-01-01 00:00:00
abstract::We have followed up 227 total hip replacements using a cementless minimadreporic prosthesis for an average of 9 1/2 years. Special attention was paid to the acetabular component, of which 2 types were used; 77 incorporated screw rings and 134 were stabilised by spikes. The screw prostheses were evaluated at an average...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00180454
更新日期:1993-12-01 00:00:00
abstract::The Register for Orthopaedic Prosthetic Implantation (RIPO) has been prospectively collecting data on hip prostheses performed in all the orthopaedic units in the region Emilia-Romagna since January 2000. The register aims to determine the characteristics of patients, evaluate the effectiveness of prostheses, and allo...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-007-0465-z
更新日期:2009-04-01 00:00:00
abstract:BACKGROUND:Insufficient levels of serum 25-hydroxyvitamin D (25-OHD) influence the knee joint cartilage and lead to development and progression of knee osteoarthritis (OA). The purpose of this study was to determine the status of serum 25-OHD levels in patients with knee OA compared with controls. METHODS:A total of 1...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-010-1186-2
更新日期:2011-11-01 00:00:00
abstract::In vitro and in vivo studies have demonstrated the possibility that cancellous bone could be used as a carrier of antibiotics for local delivery. However, the release of antibiotics from the loaded cancellous bone is too rapid and uncertain. We hypothesised that demineralisation of cancellous bone would increase the a...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-002-0384-y
更新日期:2003-01-01 00:00:00
abstract::Discoid meniscus is uncommon and usually affects the lateral meniscus. We present 16 patients (8 male and 6 female) with tears of a discoid lateral meniscus occurring in 1800 arthroscopies. We carried out an arthroscopic partial meniscectomy leaving an intact peripheral rim. This is biomechanically satisfactory and th...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00179715
更新日期:1991-01-01 00:00:00
abstract::In this retrospective case series 80 patients divided in 40 matched pair groups with an arthroscopically proven ACL insufficiency were followed up for 15 years. One half was reconstructed using an autologous BTB patella graft, the other half was treated by a conservative physiotherapeutic based rehabilitation program....
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-010-1174-6
更新日期:2011-04-01 00:00:00
abstract::The tendon sheaths of extensor pollicis brevis (EPB) and abductor pollicis longus (APL), obtained from four patients with de Quervain's disease were studied by light and electron microscopy. Three different layers were identified in the sheath which was much thicker than normal. Both the outer and the middle layers ha...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00267036
更新日期:1985-01-01 00:00:00
abstract:PURPOSE:Reverse shoulder arthroplasty (RSA) is often indicated in elderly patients with displaced proximal humerus fractures (PHF). The rate of greater tuberosity (GT) healing varies from 37 to 90% in this population. The aim of this study was to assess greater and lesser tuberosity (LT) fixation and healing on CT scan...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/s00264-020-04928-9
更新日期:2021-01-09 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::A prospective study was carried out to test the sensitivity and specificity of stress radiography in detecting anterior cruciate ligament deficiency in both knees of 116 patients using the Telos device. In 47 of these a total or partial rupture of the anterior cruciate ligament was diagnosed by arthroscopy, while the ...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00179966
更新日期:1995-01-01 00:00:00
abstract::Eighty three cases of intertrochanteric flexion osteotomy of the hip for severe osteoarthritis are reported with a five year follow up. Osteotomy is performed in the sagittal plane with flexion of the proximal fragment. The anatomical, biomechanical and operative criteria for this procedure are discussed. The indicati...
journal_title:International orthopaedics
pub_type: 杂志文章
doi:10.1007/BF00266686
更新日期:1981-01-01 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