ĐẶC ĐIỂM CỘNG HƯỞNG TỪ PHÂN BIỆT VIÊM THÂN SỐNG ĐĨA ĐỆM DO VI TRÙNG LAO VÀ VI TRÙNG SINH MỦ

Abstract

Objective: Identify the MRI caracteristics in diferentiating between tuberculous and pyogenic spondylodiscitis. Methods: We performed retrospective analysis of MR images obtained from 35 patients with tuberculosis spondylitis and 32 patients with pyogenic spondylitis. Data acquisition was performed at 115 People’s Hospital, Ho Chi Minh City, from June 2019 to June 2024. Results: Characteristic features of tuberculous spondylodiscitis included: involvement of the thoracic spine, spine deformity, severe destruction of the vertebral body, involvement of more than two vertebral bodies, thin abscess walls. Prevailing features of pyogenic spondylodiscitis included: involvement of the lumbar spine, spine alignment maintained, low-grade destruction of vertebral bodies, thick abscess walls. These MRI findings were significantly different between two groups (p<0.05). Particularly for the degree of intervertebral dics destruction, we found the increased dics destruction in the patients with tuberculous spondylodiscitis compared to the other group, without significant difference. Conclusion: Spinal MRI is an imaging method that provides important data to help in the diferential diagnosis between these two entities, tuberculous and pyogenic spondylodiscitis.