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Isolated Involvement of the Posterior Elements in Spinal Tuberculosis by Sumit Arora, Dhananjaya Sabat, Lalit Maini, Sumit Sural, Vinod Kumar, V.K. Gautam,

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Presentation on theme: "Isolated Involvement of the Posterior Elements in Spinal Tuberculosis by Sumit Arora, Dhananjaya Sabat, Lalit Maini, Sumit Sural, Vinod Kumar, V.K. Gautam,"— Presentation transcript:

1 Isolated Involvement of the Posterior Elements in Spinal Tuberculosis by Sumit Arora, Dhananjaya Sabat, Lalit Maini, Sumit Sural, Vinod Kumar, V.K. Gautam, Ajay Gupta, and Anil Dhal J Bone Joint Surg Am Volume 94(20):e151 October 17, 2012 ©2012 by The Journal of Bone and Joint Surgery, Inc.

2 Sumit Arora et al. J Bone Joint Surg Am 2012;94:e151 ©2012 by The Journal of Bone and Joint Surgery, Inc.

3 Sagittal T1 and T2-weighted MRI scans of the thoracic spine, acquired at the time of presentation, showing an epidural abscess at the T8 to T10 level. Sumit Arora et al. J Bone Joint Surg Am 2012;94:e151 ©2012 by The Journal of Bone and Joint Surgery, Inc.

4 Sumit Arora et al. J Bone Joint Surg Am 2012;94:e151 ©2012 by The Journal of Bone and Joint Surgery, Inc.

5 Axial scan at the T9 vertebra and sagittal noncontrast CT scans of the thoracic spine of the same patient, showing destruction of the spinous process and lamina of the T9 vertebra. Sumit Arora et al. J Bone Joint Surg Am 2012;94:e151 ©2012 by The Journal of Bone and Joint Surgery, Inc.

6 Sumit Arora et al. J Bone Joint Surg Am 2012;94:e151 ©2012 by The Journal of Bone and Joint Surgery, Inc.

7 Sagittal T1 and T2-weighted MRI scans of the thoracic spine and the cervicothoracic junction, showing a large loculated epidural abscess extending from T1 to T9 and compressing the cord with associated cord edema. Sumit Arora et al. J Bone Joint Surg Am 2012;94:e151 ©2012 by The Journal of Bone and Joint Surgery, Inc.

8 Axial T2-weighted image of the thoracic spine at the T4 level, showing a large hyperintense epidural collection severely compressing the cord. Sumit Arora et al. J Bone Joint Surg Am 2012;94:e151 ©2012 by The Journal of Bone and Joint Surgery, Inc.

9 Sagittal and parasagittal T2-weighted MRI scans of the cervical spine and the cervicothoracic junction, showing pyomyositis of the posterior spinal muscles at the T1-T2 level without epidural collection (large arrow). Sumit Arora et al. J Bone Joint Surg Am 2012;94:e151 ©2012 by The Journal of Bone and Joint Surgery, Inc.

10 Anteroposterior cone-down radiographic view of the cervicothoracic junction, showing the absence of the spinous process of the T1 vertebra (arrow) and the erosion of the spinous process of the T2 vertebra. Sumit Arora et al. J Bone Joint Surg Am 2012;94:e151 ©2012 by The Journal of Bone and Joint Surgery, Inc.


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