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Factors Associated with Myelopathy in Spinal Tuberculosis Yuki Kitada 1 , Kazutaka Izawa 1 , Kazuhiko Imoto 1 , Kazuo Yonenobu 2 1Department of Orthopaedic Surgery, Toneyama National Hospital 2Department of Orthopaedic Surgery, Osaka-Minami Medical Center Keyword: 結核性脊椎炎 , tuberculous spondylitis , 神経障害 , neurological deficit , MRI , magnetic resonance imaging pp.529-533
Published Date 2009/6/25
DOI https://doi.org/10.11477/mf.1408101520
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 To identity factors associated with Pott's disease, 49 spinal tuberculosis patients were classified into a group of 22 patients with a neurological deficit and a group of 27 patients with no neurological deficits, and their clinical findings (gender, age, pulmonary tuberculosis, antituberculous chemotherapy, CRP, nutritional status, and duration of disease) and radiographic findings (degree of canal encroachment, pathology and level of dural compression, number of affected vertebral bodies, range of paravertebral abscesses, signals in the spinal cord on MRI, kyphotic angle, and spinal instability) were compared. The results showed that malnutrition, severe canal encroachment, and abnormal signal within the spinal cord on MRI were associated with neurological complications. Factors associated with the degree of neurological deficit were unclear because the study population was too small.


Copyright © 2009, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1286 印刷版ISSN 0557-0433 医学書院

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