MSCT Findings and Clinical Significance of Spinal Tuberculosis Patients with Incomplete Paralysis

doi:10.7517/issn.1674-0475.201209

Abstract

Abstract: The purpose of this study was to investigate the multi-slice spiral CT (MSCT) imaging manifestations and clinical significance of spinal tuberculosis patients with incomplete paralysis before operation. 72 patients (observation group) with incomplete paralysis before spinal tuberculosis surgery in our hospital were selected, including Frankel spinal cord injury classification: 24 cases of grade B, 27 cases of grade C, and 21 cases of grade D, and 90 cases of spinal tuberculosis patients with normal muscle strength were selected as the control group, and the differences of MSCT imaging features between the two groups were analyzed and compared. In the observation group, the proportion of three or more vertebral injuries and the distribution proportion of the diseased vertebral chest segment and above were significantly higher than those in the control group (P<0.05). In the observation group, the ratio of osseous spinal canal incomplete, total vertebral height loss ≥1 vertebral body, paravertebral abscess and compression object compression vertebral canal, compression foramina ratio and kyphosis Cobb Angle were significantly564 higher than those in the control group (P<0.05). In the observation group, the proportion of osseous spinal incomplete in Frankel grade B patients were higher than that in Grade C and D patients (P<0.05). In the observation group, the ratio of paravertreal abscess and compression material to compress vertebral canal, the ratio of compression foramina and kyphosis Cobb Angle in Frankel grade B patients were higher than those in Grade D patients (P<0.05). Compared with spinal tuberculosis with normal muscle strength, MSCT images of spinal tuberculosis patients with preoperative paraplegia are different, and there are also certain differences among different Frankel grades.

Key words: spinal tuberculosis, incomplete paralysis, multislice spiral CT, clinical significance

ZHANG Yali, LUO Xiaobo, ZHAO Qian. MSCT Findings and Clinical Significance of Spinal Tuberculosis Patients with Incomplete Paralysis[J]. IMAGING SCIENCE AND PHOTOCHEMISTRY, 2021, 39(4): 564-568.

References

[1] 袁江玉. 脊柱病变的螺旋CT临床应用评价[J]. 中西医结合心血管病电子杂志,2020,8(11):71,86.
[2] Wang B, Kong L B, Zhu Z Q, et al. Recurrent complex spinal tuberculosis accompanied by sinus tract formation:Causes of recurrence and clinical treatments[J]. Scientific Reports, 2018,8(1):6933-6934.
[3] 李艳明, 张郡, 赵国华, 等. 脊柱结核病灶MSCT、MRI表现及其诊断价值研究[J]. 中国CT和MRI杂志, 2020,18(8):156-158.
[4] 安虎山. 多层螺旋CT在脊柱结核诊断中的临床应用价值分析[J]. 临床医药文献电子杂志, 2019,6(A4):170.
[5] 范小涛, 蒋康平, 彭建波. MSCT与MRI在脊柱结核病灶诊断中的应用价值[J]. 中国骨与关节损伤杂志, 2018,33(5):515-517.
[6] 宋敏, 谢智恩, 杨宏志, 等. 成人脊柱结核并不全瘫的多层螺旋CT特征分析[J]. 实用放射学杂志, 2020,36(2):267-272.
[7] Denis F. The three column spine and its significance in the classification of acute thoracolumbar spinal injuries[J]. Spine, 1983,8(8):817-831.
[8] Liu Z, Li W W, Zhang Y L, et al. Analysis of clinical factors, bacterial genotyping, and drug resistance for spinal tuberculosis in south-central China[J]. BioMed Research International, 2020,2020(3):1-10.
[9] 宋敏, 谢智恩, 杨宏志, 等. 不同转归成年活动性脊柱结核患者术前多层螺旋CT扫描特征分析[J]. 结核病与肺部健康杂志, 2019,8(4):272-279.
[10] Wang G R, Dong W J, Lan T L, et al. Diagnostic accuracy evaluation of the conventional and molecular tests for Spinal Tuberculosis in a cohort, head-to-head study[J]. Emerging Microbes & Infections, 2018,7(1):1-8.
[11] Wu M H, Su J J, Yan F F, et al. Skipped multifocal extensive spinal tuberculosis involving the whole spine:A case report and literature review[J]. Medicine, 2018,97(3):e9692-e9693.
[12] Chen X P, Lin J M, Huang H, et al. Impact factors on posterior modified transfacet debridement for thoracic spinal tuberculosis basing on regression and classification analysis[J]. Scientific Programming, 2020,2020(6):1-6.
[13] Liu H P, Luo J, Wang X D, et al. Efficacy of surgery via the single anterior and single posterior approaches for treatment of thoracic spinal tuberculosis[J]. The Journal of International Medical Research, 2020,48(1):1-11.
[14] 李世海. 多层螺旋CT在脊柱结核诊断中的临床应用研究[J]. 世界最新医学信息文摘(电子版), 2019,19(30):232-233.
[15] 王涛, 白雪. 对比分析脊柱结核的CT、MRI影像诊断价值[J]. 微量元素与健康研究, 2018,35(5):91-92.
[16] Tang H J, Liu Y, Moro A, et al. Intraoperative rupture of tuberculous pseudoaneurysm associated with spinal tuberculosis:A case report and literature review[J]. Journal of Infection in Developing Countries, 2019,13(2):174-178.
[17] 张斌. MR和MSCT诊断脊柱结核临床价值分析[J]. 医学影像学杂志, 2018,28(12):2133-2135.
[18] 李蔚洪, 黄崇权, 陈中港. MSCT与MR检查脊柱结核的临床应用分析[J]. 医学影像学杂志, 2016,26(3):551-553.
[19] 任大江, 李放, 孙天胜, 等. 72例胸腰段爆裂性骨折患者神经功能缺失与伤后椎管狭窄相关性的研究[J]. 脊柱外科杂志, 2007,5(2):88-91.