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TITLE:

A STUDY ON THE EVALUATION OF ROLE OF MRI IN SPINAL TUBERCULOSIS

AUTHORS:

Shahid Abbas, Muhammad Rashid Ul Hassan, Syed Sarmad Hussain

ABSTRACT:

Objective: The evaluation of the role of MRI in judging the magnitude of disease in TB-spine. Methodology: This study was conducted at Allied / DHQ hospital Faisalabad and the duration the duration of this study was from July 2020 to December 2020 in which 60 patients of tuberculosis were added and these patients were divided into two groups of 55% male (33) and 45% female (27). Their ages were ranging from 14 to 36 years, while the mean was 33 years. We included the TB-spine patients in this research; whereas, removed those from consideration who were having non-tuberculous spondylitis. Results: Out of, 63% (38 cases) had back-ache symptoms. Sixteen cases (26.6%) had spinal cord compression, 45% had the symptoms of thoracolumbar spine, whereas rare diffuse involvement was there and those who had an involvement in more than one level were only 5% (three cases). Mode of primary imaging was plain radiography. MRI Scan was most useful while carrying-out the investigation. The reports gathered through MRI Scan showed the paraspinal abscess in 40% (24 cases), narrowed intervertebral disc space in 95% cases, complete destruction of body in 20% (12 cases), wedge collapse of body in 30% (18 cases), card compression in 26.6% (16 cases); whereas, calcification in 30% (18 cases). Conclusion: The most important equipment for investigation of spinal tuberculosis in patients is MRI. It is also a useful surgical treatment guide as it provides the details of the disease including its extent. Monitoring of the feedback to the treatment also becomes very easy using MRI Scans. Keywords: Pulmonary Disease, Spinal, Paraplegia Spinal Tuberculosis.

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