CLINICAL AND RADIOLOGICAL CORRELATION OF SPINAL TUBERCULOSIS
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Keywords
Spinal tuberculosis, clinico-radiological correlation, Pott's disease, MRI, histopathology, Pakistan.
Abstract
Introduction: Spinal tuberculosis (TB) is an extreme kind of extrapulmonary TB, which includes the destruction of the vertebrae and neurological problems, especially in endemic areas such as Pakistan. Clinical and radiological correlation is essential in accurate diagnosis, which is important in effective management.
Objective: To assess the clinical appearance, radiographic evidence, and histopathological correlation of the patients of spinal TB to debilitate accurate manifestation and administration.
Materials and Method: All patients who participated in the cross-sectional study were recruited between April, 2024 and July 2024 at Hayatabad Medical Complex Peshawar, Pakistan. In the study, 72 patients between their 18th and 65th birthday were included with signs and symptoms that showed they were suspected of having spinal TB. MRI/CT imaging, CT-guided biopsies, and clinical assessments were done, and data was analyzed concerning clinical-radiological-histopathological correlation.
Results: The average age was 38.6 years, where 61.1 percent were males. Prevalence was high in back pain (94.4%), paravertebral abscesses (68%), and communis thoracolumbara (58.3%). Histopathological confirmation was realized in 90.3%, and there exists a good correlation between clinical-radiological findings in 81.9% (p<0.05).
Conclusion: A combination of clinical, radiological, and histopathological results helps in better diagnosis of the condition in order to intervene early and avoid complications of spinal TB.
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This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
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Dr Harwindar Kumar
FCPS Neurology, MRCP UK, FEBN, Consultant Neurologist Buner Medical Center Buner KPK, Pakistan
Dr Muhammad Owais Khan
FCPS Neurology, Consultant Neurologist, Specialist Registrar Neurology Unit, Hayatabad Medical Complex Peshawar, Pakistan
Dr Abed Ullah Khan
FCPS (Tr&Orth), MRCS UK, Spinal Fellow, Leeds Teaching Hospital UK
Dr Umar Zia Khan
Consultants Orthopedics Surgeon/ Assistant Professor, Kulsum International Hospital / PAF Hospital Islamabad, Pakistan
Dr Raza Hassan
Assistant Professor, Department of Orthopaedics, Northwest General Hospital and Research Centre
Dr Naseer Hassan
Associate Professor/ Chairman Neurosurgery and Neurotrauma, Department, Nowshera Medical College/ Qazi Hussain Ahmad Medical Complex, Nowshera, Pakistan