Bell G R, Stearns K L, Bonutti P M, Boumphrey F R
Cleveland Clinic Foundation, Ohio.
Spine (Phila Pa 1976). 1990 Jun;15(6):462-5. doi: 10.1097/00007632-199006000-00006.
Two patients with suspected tuberculous spondylitis and one patient with previous Pott's disease were evaluated preoperatively with magnetic resonance imaging (MRI). The MRI provided more exact anatomic localization of vertebral and paravertebral tuberculous abscesses in multiple planes not previously available with more conventional diagnostic methods in the patients with suspected tuberculous spondylitis. This was helpful for localization in planning of surgical approaches. In the patient with previous Pott's disease, spinal cord compression was detected using MRI, which showed no evidence of active tuberculosis. Two case reports are offered to show the benefit of using MRI as a diagnostic technique in preoperative evaluation and as a method of monitoring treatment response of tuberculous spondylitis. The third case shows the benefit of using MRI to rule out active infection and to detect other forms of spinal pathology.
对两名疑似结核性脊柱炎患者和一名曾患波特氏病的患者进行了术前磁共振成像（MRI）评估。对于疑似结核性脊柱炎的患者，MRI在多个平面上提供了比以往更传统诊断方法更精确的椎体及椎旁结核脓肿的解剖定位。这有助于手术入路规划中的定位。在曾患波特氏病的患者中，通过MRI检测到脊髓受压，且未发现活动性结核的迹象。提供两例病例报告以展示使用MRI作为诊断技术在结核性脊柱炎术前评估及监测治疗反应中的益处。第三例病例展示了使用MRI排除活动性感染及检测其他形式脊柱病变的益处。
