Diagnosis of tuberculous vertebral osteomyelitis (TVO) in a developed country and literature review

Spinal Cord

Volumn 43, Issue 9, 2005, Pages 531-542

  Wang, D ^a,b  

^a STOKE MANDEVILLE HOSPITAL   (United Kingdom)

^b NONE   (United Kingdom)

Author keywords

Bacteriology; Clinical manifestations; Differential diagnosis; ESR and WBC; Histology; Plain radiography

Indexed keywords

ADULT; AGED; BACTERIAL ARTHRITIS; BACTERIOLOGY; BACTERIUM CULTURE; BLOOD CULTURE; CLINICAL ARTICLE; COMPUTER ASSISTED TOMOGRAPHY; DIAGNOSTIC ACCURACY; ERYTHROCYTE SEDIMENTATION RATE; FEMALE; HISTOLOGY; HOSPITAL ADMISSION; HUMAN; LABORATORY DIAGNOSIS; LEUKOCYTE; MALE; MEDICAL LITERATURE; MEDICAL RECORD; NUCLEAR MAGNETIC RESONANCE IMAGING; POLYMERASE CHAIN REACTION; PRIORITY JOURNAL; REVIEW; STAPHYLOCOCCUS; TUBERCULOUS SPONDYLITIS; UNITED KINGDOM; X RAY FILM;

ADULT; AGED; DEVELOPED COUNTRIES; DIAGNOSIS, DIFFERENTIAL; FEMALE; HUMANS; MALE; MIDDLE AGED; OSTEOMYELITIS; PHYSICIAN'S PRACTICE PATTERNS; POLYMERASE CHAIN REACTION; PRACTICE GUIDELINES; RARE DISEASES; SPINAL DISEASES; TOMOGRAPHY, X-RAY COMPUTED; TUBERCULOSIS;

EID: 24944506576     PISSN: 13624393     EISSN: None     Source Type: Journal    
DOI: 10.1038/sj.sc.3101753     Document Type: Review

References (189)

1. Ambrose GB, Alpert M, Neer CS. Vertebral osteomyelitis. A diagnostic problem. JAMA 1966; 297: 619-622.
2. Ross PM, Fleming JL. Vertebral body osteomyelitis. Clin Orthop 1976; 118: 190-198.
3. Ormerod P. Tuberculosis moves in mysterious ways (editorial). Hos Med 1998; 59: 606-607.
4. Leonard AJ et al. Difficulties in diagnosis and treatment of spinal tuberculosis. Hosp Med (London) 1998; 59: 654-656.
5. Edwards RJ, David KM, Crockard HA. Management of tuberculomas of the craniovertebral junction. Br J Neurosurg 2000; 14: 19-22.
6. Elliot J. Vertebral osteomyelitis often goes undiagnosed. JAMA 1980; 243: 1410.
7. Lukoschek M, Niethard PU. Complete synostosis of the cervical spine at a young age. A thus far unpublished case [German]. Z Orthop Ihre Grenzgeb 1995; 133: 120-122.
8. Musher DM et al. Vertebral osteomyelitis. Still a diagnostic pitfall. Arch Intern Med 1976; 136: 105-110.
9. Bahadori RS, Arjmand EM, Goldberg AN. Tuberculosis of the cervical spine. Otolaryngol Head Neck Surg 1994; 110: 595-597.
10. Kulali A, Cobanoglu S, Ozyilmaz F. Spinal tuberculosis with circumferential involvement of two noncontiguous isolated vertebral levels: case report. Neurosurgery 1994; 35: 1154-1158.
11. Raymond F, Levard G, Battaille B. Sacral bone tuberculosis in a 6 year-old child. Arch Pediatr 1994; 1: 489-492 (in French).
12. Tibau R et al. Tuberculosis of the nerural arch. A report of four cases. Int Orthop 1994; 18: 119-121.
13. Hoeffel C et al. Pyogenic spondylitis with Scheuermann's Disease. Klin Paediatr 2000; 212: 81-83.
14. Ndiaye M et al. Compressions medullaires pottiques de l'enfant. Dakar Med 1999; 44: 49-53.
15. O'Brien JP. Pott's Paraplegia. In Bedbrook G (ed). The Care and Management of Spinal Cord Injuries. Springer-Verlag: New York, Heidelberg, Berlin 1981, pp 230-237.
16. Lee TC et al. Transpedicular instrumentation as an adjunt in the treatment of thoracolumbar and lumbar spine tuberculosis with early stage bone destruction. J Neurosurg 1999; 91(2 Suppl): 163-169.
17. Ormerod P. Tuberculosis moves in mysterious ways (editorial). Hosp Med 1998; 59: 606-607.
18. Harisinghani MG et al. Tuberculosis from head to toe. Radiographics 2000; 20: 449-470 (Review, 108 ref).
19. Boachie-Adjei O, Squillante RG. Tuberculosis of the spine. Orthop Clin North Am 1996; 27: 95-103.
20. Miller JD. Pott's paraplegia today. Lancet 1995; 346: 246.
21. Perronne C et al. Pyogenic and tuberculous spondylodiskitis (vertebral osteomyelitis) in 80 adult patients. Clin Infect Dis 1994; 19: 746-750.
22. Pertuiset E et al. Spinal tuberculosis in adults. A study of 103 cases in a developed country, 1984-1994. Medicine 1999; 78: 309-320.
23. Tirri R, Vitiello R, Di Martino G. Pott's disease of the lower cervical spine in a diabetic patient. Monaldi Arch Chest Dis 2000; 55: 205-207.
24. Chaisson RE, Nachega J In: Warrell DA, Cox TM, Firth JD, Benz Jr EJ (eds). Oxford Textbook of Medicine 4th edn. Oxford University Press: Oxford 2003, Chapter 7 Infection, Part 11 Bacteria, Section 22 Tuberculosis, p566.
25. Pszolla N et al. Spondylitis tuberculosa der Hauswirbelsaule. Unfallchirurg 2000; 103: 322-325.
26. Shimakawa M. Choroidal tuberculoma in a patient with acquired immunodeficiency syndrome. Nippon Ganka Gakkai Zasshi: Acta Soc Ophthalmol Japon 2000; 104: 437-441.
27. Mantero E, Casu F, Asquasciati G et al. Tuberculosis of the spine in children. Personal experience. Minerva Pediatr 1994; 46: 295-301.
28. Fam AG, Rubenstein J. Another look at spinal tuberculosis. J Rheumatol 1993; 20: 1731-1740.
29. Moon MS. Tuberculosis of the spine. Controversies and a new challenge. Spine 1997; 229: 1791-1797.
30. Parry O, Bhebhe E, Levy LF. Non-traumatic paraplegia in a Zimbabwean population-a retrospective survey. Cent Afr J Med 1999; 45: 114-119.
31. Lukhele M. Tuberculosis of the cervical spine. S Afr Med J 1996; 86: 553-556.
32. Fang D et al. Pyogenic vertebral osteomyelitis: treatment by anterior spinal debridement and fusion. J Spinal Disord 1994; 7: 173-180.
33. Fang D, Leong JCY, Fang HSY. Tuberculosis of the upper cervical spine. J Bone Joint Surg (Br) 1983; 65: 47.
34. Fang HSY, Ong GB, Hodgson AR. anterior spinal fusion. The operative approaches. Clin Orthop 1964; 35: 16.
35. Fang HSY, Ong GB. Direct anterior approach to the upper cervical spine. J Bone Joint Surg (Am) 1962; 44: 1588.
36. Fu WK, Wu WC, Ip FK. Concommitant tuberculosis and pyogenic infection of the cervical spine. A case report. Spine 1998; 23: 139-143.
37. Hodgson AR et al. Anterior spinal fusion. The operative approach and pathological findings in 412 patients with Pott's Disease of the spine. Br J Surg 1960; 48: 208.
38. Hodgson AR, Skinsnes OK, Leong CY. The pathogenesis of Pott's Paraplegia. J Bone Joint Surg (Am) 1967; 49: 1147.
39. Hodgson AR, Stock FE. Anterior spinal fusion for the treatment of tuberculosis of the spine. The operative findings and results of treatment in the first one hundred cases. J Bone Joint Surg (Am) 1960; 42: 295.
40. Hodgson AR, Stock FE. Anterior spinal fusion. Br J Surg 1956; 44: 266.
41. Hodgson AR, Wong W, Yan A. X-ray Appearance of Tuberculosis of the Spine. Charles C Thomas: Springfield, IL 1969.
42. Hodgson AR, Yau A. Anterior surgical a approaches to the spinal column. In: Apley AG (ed). Recent Advances in Orthpaedics. J & A Churchill: London 1969.
43. Hodgson AR et al. A clinical study of 100 consecutive patients with Pott's paraplegia. Clin Orthop 1964; 36: 128.
44. Hodgson AR, Yau A. Pott's paraplegia: a classification based upon the living pathology. Paraplegia 1967; 5: 1-16.
45. Hodgson AR. An approach to the cervical spine (C3-7). Clin Orthop 1965; 39: 129.
46. Hsu L, Cheng C. Pott's paraplegia of late onset: recovery after anterior decompression. J Bone Joint Surg (Br) 1986; 68: 676.
47. Hsu L, Leong J. Tuberculosis of the spine. In: C McCollister Evarts A (ed) Surgery of the Musculoskeletal System. 2nd edn. Churchill Livingstone: New York, Edinburgh, London, Melbourne 1990, Chapter 80, pp. 2229-2314.
48. Malawski S, Lukawski S. Pyogenic infection of the spine. Clin Orthop 1991; 272: 58-66.
49. Medical Research Council Working Party on Tuberculosis of the Spine. A controlled trial of ambulant outpatient rest in bed in the management of tuberculosis of the spine in young Korean patients on standard chemotherapy: a study in Masan, Korea. J Bone Joint Surg (Br) 1973; 55: 678.
50. Medical Research Council Working Party on Tuberculosis of the Spine. A controlled trial of plaster-of-Paris jackets in the management of ambulant out-patient treatment of tuberculosis of the spine in children on standard chemotherapy: a study in Pusan, Korea. Tubercle 1973; 54: 261.
51. Medical Research Council Working Party on Tuberculosis of the Spine. A controlled trial of debridement and ambulant treatment in the management of tuberculosis of the spine in patients on standard chemotherapy: a study in Bulawayo, Rhodesia. J Trop Med Hyg 1974; 77: 22.
52. Medical Research Council Working Party on Tuberculosis of the Spine. A controlled trial of anterior spinal fusion and debridement in the surgical management of tuberculosis of the spine in patients on standard chemotherapy: a study in Hong Kong. Br J Surg 1974; 61: 853.
53. Medical Research Council Working Party on Tuberculosis of the Spine. A five-year assessments of controlled trials of in-patient and out-patient treatment and of plaster-of-Paris jackets for tuberculosis of the spine in children on standard chemotherapy: studies in Masan and Pusan, Korea. J Bone Joint Surg (Br) 1976; 58: 399.
54. Medical Research Council Working Party on Tuberculosis of the Spine. Five-year assessments of controlled trials of ambulatory treatment, debridement and anterior spinal fusion in the management of tuberculosis of the spine. Studies in Bulawayo (Rhodesia) and in Hong Kong. J Bone Joint Surg (Br) 1978; 60: 163.
55. Medical Research Council Working Party on Tuberculosis of the Spine. A ten-year assessment of a controlled trial of comparing debridement and anterior spinal fusion in the management of tuberculosis of the spine in patients on standard chemotherapy in Hong Kong. J Bone Joint Surg (Br) 1982; 648: 393.
56. Medical Research Council Working Party on Tuberculosis of the Spine. A controlled trial of six-month and nine-month regimens of chemotherapy in patients undergoing radical surgery for tuberculosis of the spine in Hong Kong. Tubercle 1986; 67: 234.
57. Fang X et al. Tuberculosis of the spine. In: Tianjin Orthopaedic Hospital (editors anonymous). Bone and Joint Tuberculosis, Clinical Orthopaedics (Chinese). People's Health Publishing House: Beijing 1974, pp 183-256.
58. Niejadlik DC. Sputum. In: Todd JC, Sanford AH, Davidson I (ed). Clinical Diagnosis and Management by Laboratory Methods. J Computer Assisted Tomography 17th edn., Part 3: Medical Microscopy by Henry JB and Threatte GA. WB Saunders: London, Toronto, Mexico City, Rio de Janeiro, Sydney, Tokyo 1984, pp 523-536.
59. Rath S et al. Neurosurgical management of thoracic and lumbar vertebral osteomyelitis and discitis in adults: a review of 43 consecutive surgically treated patients. Neurosurgery 1996; 38: 926-933.
60. Bauer TM, Pippert H, Zimmerli W. Vertebral osteomyelitis caused by group B streptococci (Streptococcus agalactiae) secondary to urinary tract infection. Eur J Clin Microbiol Infect Dis 1997; 16: 244-246.
61. Carragee EJ. Pyogenic vertebral osteomyelitis. J Bone Joint Surg (Am) 1997; 79: 874-880.
62. Arnorld PM et al. Surgical management of non-tuberculous thoracic and lumbar vertebral osteomyelitis: report of 33 cases. Surg Neurol 1997; 47: 551-561.
63. Wisneski R. Infectious disease of the spine: diagnostic and treatment considerations. Orthop Clin North Am 1991; 22: 491-501.
64. Golimbu C, Firooznia H, Rafii M. CT of osteomyelitis of the spine. Am J Roentgenol 1984; 142: 159-163.
65. Cremin BJ, Jamieson DH, Hoffman EB. CT and MR in the management of advanced spinal tuberculosis. Pediatr Radiol 1993; 23: 298-300.
66. Adatepe MH et al. Hematogenous pyogenic vertebral osteomyelitis: diagnostic value of radionuclide bone imaging. J Nucl Med 1986; 27: 1680-1685.
67. Babinchak TJ, Riley DK, Rotheram Jr EB. Pyogenic vertebral osteomyelitis of the posterior elements. Clin Infect Dis 1997; 25: 221-224 (review).
68. Chan KM et al. Pyogenic osteomyelitis of the spine - A review of 16 consecutive cases. J Spinal Disord 1988; 1: 224-231.
69. Devereaux MD, Hazelton RA. Pyogenic spinal osteomyelitis - its clinical and radiological presentation. J Rheumatol 1983; 10: 491-493.
70. Ehara S, Khurana JS, Kattapuram SV. Pyogenic vertebral osteomyelitis of the posterior elements. Skel Radiol 1989; 18: 175-178.
71. Emery SE, Chan DP, Woodward HR. Treatment of hematogenous pyogenic vertebral osteomyeltitis with anterior debridement and primary bone grafting. Spine 1989; 14: 284-291.
72. Frederickson B, Yuan J, Olans R. Management and outcome of pyogenic vertebral osteomyelitis. Clin Orthop Relat Res 1978; 131: 160-167.
73. Graziano GP, Sidhu KS. Salvage reconstruction in acute and late sequelae from pyogenic thoracolumbar infection. J Spinal Disord 1993; 6: 199-207.
74. Heary RF, Hunt CD, Wolansky LJ. Rapid bony destruction with pyogenic vertebral osteomyelitis. Surg Neurol 1994; 41: 34-39 (review).
75. Kern RZ, Houpt JB. Pyogenic vertebral osteomyelitis: diagnosis and management. Can Med Assoc J 1984; 130: 1025-1028.
76. Liebergall M et al. Pyogenic vertebral osteomyelitis with paralysis. Prognosis and treatment. Clin Orthop Relat Res 1991; 169: 142-150.
77. Mund DJ. Pyogenic vertebral osteomyelitis: manifestation of bacterial endocarditis. NY State J Med 1980; 80: 980-982.
78. Osenbach RK, Hitchon PW, Menezes AH. Diagnosis and management of pyogenic vertebral osteomyelitis in adults. Surg Neurol 1990; 33: 266-275.
79. Patzakis MJ et al. Analysis of 61 cases of vertebral osteomyelitis. Clin Orthop 1991; 264: 178-183.
80. Scully RE, Mard Dj, McNewly BU. Case records of the Massachusetts General Hospital. Weekly clinicopathological exercises. Case 12-1982. N Engl J Med 1982; 306: 729-737.
81. Slagel SA, Skiendzielewski JJ, McMurry FH. Osteomyelitis of the cervical spine: reversible quadriplegia resulting from Philadelphia Collar placement. Ann Emerg Med 1985; 14: 912-958.
82. Spies EH, Stucker R, Reichelt A. Conservative management of pyogenic osteomyelitis of the occipitocervical junction. Spine 1999; 24: 818-822.
83. Sutton MJ. Pyogenic osteomyelitis of the vertebral body. J Am Osteopathic Assoc 1984; 83: 724-728.
84. Thacker AK, Radhadrishnam K, Maloo JC. Pyogenic cervical vertebral osteomyelitis. Br J Clin Pract 1990; 44: 763-764.
85. Torda AJ, Gottlieb T, Bradbury R. Pyogenic vertebral osteomyelitis: analysis of 20 cases and review. Clin Infect Dis 1995; 20: 320-328.
86. Wedge JH et al. Atypical manifestations of spinal infections. Clin Orthop Related Res 1977; 123: 155-163.
87. Yoshioka K. A case of non-insulin-dependent diabetes mellitus with vertebral osteomyelitis: usefulness of imaging diagnosis. Diabetes Res Clin Pract 1995; 29: 211-214.
88. Zigler JE et al. Pyogenic osteomyelitis of the occiput, the atlas and the axis. A report of five cases. J Bone Joint Surg (Am) 1987; 69: 1069-1073.
89. Weisz RD, Errico TJ. Spinal infection. Diagnosis and treatment. Bull Hosp Joint Dis 2000; 59: 40-46 (review).
90. Meyers SP, Wiener SN. Diagnosis of hematogenous pyogenic vertebral osteomyelitis by magnetic resonance imaging. Arch Intern Med 1991; 151: 683-687.
91. Hooper J, Griffin P. Pyogenic osteomyelitis of the spine. Aust NZ J Surg 1976; 46: 367-371.
92. Rose RE, Handa R. Treatment of spinal tuberculosis by decompression and anterior spian fusion. Case report and review of the literatiure. West Indian Med J 1994; 43: 23-25.
93. Carragee EJ et al. The clinical use of erythrocyte sedimentation rate in pyogenic vertebral tuberculosis. Spine 1997; 22: 2089-2093.
94. Jain AK, Kumar S, Tuli SM. Tuberculosis of spine (C1-D4). Spinal Cord 1999; 37: 262-269.
95. Mitusova GM, Sovetova NA. Magnetic resonance imaging in the complex radiation diagnosis of turberculous spondylitis in adults. Probl Tuberk 1999; 3: 19-22 (in Russian).
96. Ridley N et al. Radiology of skeletal tuberculosis. Orthopedics (Thorofare, NJ) 1998; 21: 1213-1220 (review, 35 refs).
97. Cahill DW, Love LC, Rechtine GR. Pyogenic osteomyelitis of the spine in the elderly. J Neurosurg 1991; 74: 878-886.
98. Hadjipavlou AG et al. Haematogenous pyogenic spinal infections and their surgical management. Spine 2000; 25: 1668-1679.
99. Akhaddar A et al. Craniocervical junction tuberculosis in children. Rev Rhum 1999; 66: 739-742.
100. Bass SN et al. Pyogenic vertebral osteomyelitis presenting as exudative pleual effusion: a series of five cases. Chest 1998; 114: 642-647.
101. Buchman AL. Streptococcus viridans osteomyelitis with endocarditis presenting as acute onset lower back pain. J Emerg Med 1990; 8: 291-294.
102. Feun L et al. Spinal cord compression produced by osteomyelitis mimicking spinal epidural metastasis. Am J Clin Oncol 1992; 15: 174-179.
103. Friedmand DP, Hills JR. Cervical epidural spinal infection: MR imaging characteristics. Am J Roentgenol 1994; 163: 699-704.
104. Ginder DR. Pyogenic vertebral osteomyelitis. J Maine Med Assoc 1976; 67: 40-41.
105. Haase D, Martin R, Marrie T. Radionuclide imaging in pyogenic vertebral osteomyelitis. Clin Nucl Med 1980; 5: 533-537.
106. Noguchi S et al. Diagnostic pitfalls in osteomyelitis of the odontoid process: case report. Surg Neurol 1999; 53: 573-579.
107. Pollard BA, El-Beheiry H. Pott's disease with unstable cervical spine, retropharyngeal cold abscess and progressive airway obstruction. Can J Anaesth 1999; 46: 772-775.
108. Sapico FL, Montogomerie JZ. Pyogenic vertebral osteomyelitis: report of nine cases and review of the literature. Rev Infect Dis 1979; 1: 754-776.
109. Collert S. Osteomyelitis of the spine. Acta Orthop Scand 1977; 48: 283-290.
110. Forsythe M, Rothman RH. New concepts in the diagnosis and treatment of infections of the cervical spine. Orthop Clin North Am 1978; 9: 1039-1051.
111. Gutmanis PA, Rorabeck CH. Pyogenic infections of the adult spine. Can J Surg 1979; 22: 162-166.
112. Hooper J, Griffin P. Pyogenic osteomyelitis of the spine. Aust NZ J Surg 1976; 46: 367-371.
113. Ryan MD, Taylor TKF. The bacteriologic diagnosis and antibiotic treatment of haematogenous vertebral osteomyelitis in adults. Aust NZ J Surg 1978; 48: 81-88.
114. Pandit HG et al. Bone scintigraphy in tuberculous spondylodiscitis. Eur Spine J 1999; 8: 205-209.
115. Waldvogel FA, Vasey H. Osteomyelitis: the past decade. N Engl J Med 1980; 303: 360-370.
116. Eismont FJ et al. Pyogenic and fungal vertebral osteomyelitis with paralysis. J Bone Joint Surg (Am) 1983; 65: 19-29.
117. Ray MJ, Bassett RL. Pyogenic vertebral osteomyelitis. Orthopedics 1985; 8: 504-506.
118. Roberts WA. Pyogenic vertebral osteomyelitis of a lumbar facet joint with associated epidural abscess. A case report with review of the literature. Spine 1988; 13: 948-952.
119. Charles RW, Mody GM, Govender S. Pyogenic infection of the lumbar vertebral spine due to gas-forming organisms. A case report. Spine 1989; 14: 541-543.
120. Silverthorn KG, Gillespie WJ. Pyogenic spinal osteomyelitis: a review of 61 cases. NZ Med J 1986; 99: 62-65.
121. Hoffer FA, Strand RD, Gebhardt MC. Percutaneous biopsy of pyogenic infection of the spine in children. J Pediatr Orthop 1988; 8: 442-444.
122. Frazer-Hill M, Renfrew D. Percutaneous biopsy of musculoskeletal lesions. 1: Effective accuracy and diagnostic utility. Am J Roentgenol 1994; 158: 809-812.
123. Francis IM et al. Value of radiologically guided fine needle aspiration cytology (FNAC) in the diagnosis of spinal tuberculosis: a study of 29 cases. Cytopathology 1999; 10: 390-401.
124. Kattapuram SV, Phillips WC, Boyd R. CT in pyogenic osteomyelitis of the spine. Am J Roentgenol 1983; 140: 1199-1201.
125. Quinn SF et al. MR imaging of chronic osteomyelitis. J Computer Assisted Tomography 1988; 12: 113-117.
126. Sapico FL, Montgomerie JZ. Vertebral osteomyelitis. Infect Dis Clin North Am 1990; 4: 539-550 (review).
127. Lee TC et al. Transpedicular intrumentation as an adjunt in the treatment of thoracolumbar and lumbar spine tuberculosis with early stage bone destruction. J Neurosurg 1999; 91(2 Suppl): 163-169.
128. Lehovsky J. Pyogenic vertebral osteomyelitis/disc infection. Best Pract Res Clin Rheumatol 1999; 13: 59-75 (review).
129. Takasita M et al. Delayed paraplegia caused by gradual collapse of an infected vertebra. Clin Orthop Relat Res 2000; 373: 248-251.
130. Soda T et al. Pyogenic vertebral osteomyelitis after acute bacterial prostatitis: a case report. Int J Urol 1996; 3: 402-404.
131. Yoshioka K. A case of non-insulin-dependent diabetes mellitus with vertebral osteomyelitis: usefulness of imaging diagnosis. Diabetes Res Clin Pract 1995; 29: 211-214.
132. Herget GW et al. Tuberkulose Spatstreuung bei Spondylitis tuberculosa. Dtsche Med Wochenschr 2000; 125: 62-65.
133. Sapico FL, Montgomerie JZ. Vertebral osteomyelitis. Infect Dis Clin North Am 1990; 4: 539-550 (review).
134. Young WF, Weaver M. Isolated pyogenic osteomyelitis of the odontoid process. Scand J Inf Dis 1999; 31: 512-515 (review).
135. Voravud N, Theriault R, Hortobagyi G. Vertebral osteomyelitis mimicking bone metastasis in breast cancer patients. Am J Clin Oncol 1992; 15: 428-432.
136. Sharif J. MR in managing spine infections. Am J Roentgenol 1992; 158: 133-145.
137. Dagirmanjian A, Schils J, McHenry MC. MR imaging of spinal infections. Magn Reson Imaging Clin North Am 1999; 7: 525-538 (review).
138. Yamagishi S, Yokoyama-Ohta M. Pyogenic infectious spondylitis in a patient with diabetes: case report. J Int Med Res 1999; 27: 45-48.
139. Jain AK, Jena A, Dhammi IK. Correlation of clinical course with magnetic resonance imaging in tuberculous myelopathy. Neurol India 2000; 48: 132-139.
140. Douay X et al. A-coups paraplegiques revelateurs d'une myelite tuberculeuse. Rev Neurol 2000; 156: 661-664.
141. Nakao S et al. A case of pulmonary tuberculosis complicated with multiple bone and joint tuberculosis. Kekkaku 2000; 75: 429-434 (in Japanese).
142. Akhmetov AA, Amanzholova LK, Tutkyshbaev SO. Tuberculous spondylitis complicated by spinal disorders: diagnosis and treatment. Probl Tuberk 2000; 3: 35-37.
143. Kim WU et al. Intramedullary tuberculosis manifested as Brown-Sequard syndrome in a patient with systemic lupus erythematosus. Lupus 2000; 9: 147-150.
144. Akalan N, Ozgen T. Infection as a cause of spinal compression: a review of 36 spinal epidural abscess. Acta Neurochirur 2000; 142: 17-23.
145. Engin G et al. Imaging of extrapulmonary tuberculosis. Radiographics 2000; 20: 471-488.
146. Dusmet M, Halkic N, Corpataux JM. Video-assisted thoracic surgery diagnosis of thoracic spinal tuberculosis. Chest 1999; 116: 1471-1472.
147. Zamiati W et al. Apport du scanner spirale et l'IRM dans la spndylodiscite tuberculeuse. J Neuroradiol 1999; 26: 27-34.
148. Carragee EJ. The clinical uses of magnetic resonance imaging in pyogenic vertebral osteomyelitis. Spine 1997; 22: 780-785.
149. Williams PH, Fairhurst JJ. The use of CT and MR in the management of advanced spinal tuberculosis. Pediatr Radiol 1995; 25: 239.
150. Thrush A, Enzman D. MR imaging of infectious spondylitis. Am J Neuroradiol 1990; 11: 1171-1180.
151. Griffith JF, Kumta SM, Leung PC, Cheng JC, Chow LT, Metreweli C. Imaging of musculoskeletal tuberculosis: a new look at an old disease. Clin Orthop 2002; 398: 32-39.
152. Alame T et al. Spinal tuberculosis: a report of five cases and a review. Monaldi Arch Chest Dis 1996; 51: 362-368 (review).
153. Ozuna RM, Delamarter RB. Pyogenic vertebral osteomyelitis and postsurgical disc space infections. Orthop Clin North Am 1996; 27: 87-94.
154. Williams RL et al. Fungal spinal osteomyelitis in the immunocompromised patient: MR findings in three cases. Am J Neuroradiol 1999; 20: 381-385.
155. Journeau P et al. Paraplegie d'origine pottique chez l'enfant. Mecanismes et strategies therapeutiques. A propos de 6 cas. Rev Chirur Orthop Repar Appareil Moteur 1999; 85: 117-124.
156. Papavero R et al. Tuberculose vertebrale de l'enfant: place de l'imagerie dans la demarche diagnostique et therapeutique. Presse Med 1999; 28: 1980-1982.
157. Casper GR, Heath P, Garland SM. A pain in the neck in pregnancy: cervical spinal tuberculosis. Austral NZ J Obstet Gynaecol 1995; 35: 398-400.
158. Herbst A et al. A 15-year-old girl with a large lumbosacral abscess. Diagnosis: spinal tuberculosis. Eur J Pediatr 1999; 158: 1003-1004.
159. Cherifi S, Guillaume MP, Peretz A. Multidrug-resistant tuberculosis spondylitis. Acta Clin Belg 2000; 55: 34-36.
160. Mushkin AY, Kovalenko KN. Neurological complications of spinal tuberculosis in children. Int Orthop 1999; 23: 210-212.
161. Herbst A et al. A 15-year-old girl with a large lumbosacral abscess. Diagnosis: spinal tuberculosis. Euro J Pediatr 1999; 158: 1003-1004.
162. Leitao J, Govender S, Parbhoo AH. Pyogenic spondylitis. S Afr J Surg 1999; 37: 79-82.
163. Belzuunegui J et al. Vertebral osteomyelitis in northern Spain. Report of 62 cases. Clin Exp Rheumatol 1999; 17: 447-452.
164. Jain AK, Aggarwal A, Mehrotra G. Correlation of canal encroachment with neurological deficit in tuberculosis of the spine. Int Orthop 1999; 23: 85-86.
165. Mushkin A, Kovalenko KN, Bakin MN. Correction of kyphosis in tuberculosis spondylitis in children. Probl Tuberk 1999; 3: 25-27 (in Russian).
166. Serdobintsev MS et al. Efficiency of plastic surgery for osteoarticular tuberculosis by using revascularisation of osseous tissue bed and graft. Probl Tuberk 1999; 3: 30-33 (in Russian).
167. Lipskaia EA, Garbus AE. Surgical treatment of patients with cervicothoracic and upper thoracic spinal abnormalities. Probl Tuberk 1999; 3: 23-25 (in Russian).
168. Journeau P et al. Pott's disease paraplegia. Mechanics and therapeutic strategies. Rev Chirur Orthop Repara Appareil Moteur 1999; 85: 117-124 (in French).
169. Sar C et al. An anterior approach to the cervicothoracic junction of the spine (modified osteotomy of manubrium sterni and clavicle). J Spinal Disord 1999; 12: 102-106.
170. Kurimoto M et al. Pyogenic osteomyelitis of an invaginated odontoid process with rapid deterioration of high cervical myelopathy: a case report. Acta Neurochirur 1998; 140: 1093-1094.
171. Burton CH et al. Unusual aetiology of persistent back pain in a patient with multiple myeloma: infectious discitis. J Clin Pathol 1998; 51: 633-634.
172. Zamiati W, el Quessar A. L'atteinte tuberculouse de l'arc posterieur vertebra. J Neuroradiol 1999; 26: 21-26.
173. Gepstein R et al. Management of pyogenic vertebral osteomyelitis with spinal cord compression in the elderly. Paraplegia 1992; 30: 795-798.
174. Kramer N, Rosenstein ED. Rheumatologic manifestations of tuberculosis. Bull Rheum Dis 1997; 46: 5-8 (review).
175. Naim-Ur-Rahman et al. Neural arch tuberculosis: radiological features and their correlation with surgical findings. Br J Neurosurg 1997; 11: 32-38 (review).
176. Al Soub H. Retropharyngeal abscess associated with tuberculosis of the cervical spine. Tubercle Lung Dis 1996; 77: 563-565 (review).
177. Bhattacharya A et al. Atypical spinal tuberculosis. J Indian Med Assoc 1996; 94: 353-354.
178. Bhatnagar MS et al. Asymptomatic spinal tuberculosis presenting as esophageal stricture. Indian J Gastroenterol 1996; 15: 72-73.
179. Souidi A, Ferroir JP, Le Breton C, Cardranel J, Milleron B. Current aspecsts of spinal tuberculosis: a review of 10 cases. Rev Pneumol Clin 1996; 52: 15-19.
180. Luk KD, Krishna M. Spinal stenosis above a healed tuberculous kyphosis. A case report. Spine 1996; 21: 1098-1101.
181. Watts HG, Llifeso RM. Tuberculosis of bones and joints. J Bone Joint Surg (Am) 1996; 78: 288-298.
182. Pednekar SJ et al. Spinal tuberculosis: two case reports. J Assoc Physicians India 1995; 43: 571-572.
183. Kruijtzer CM et al. Extrapulmonary tuberculosis in 3 Dutch patients. Ned Tijdschr Geneesk 1995; 139: 2050-2052 (in Dutch).
184. El-Shahawy MA, Gadallah MF, Campese VM. Tuberculosis of the spine (Pott's disease) in patients with end-stage renal disease. Am J Nephrol 1994; 24: 55-59.
185. Rajasekaran S et al. Tuberculous lesions of the lumbosacral region. Spine 1998; 23: 1163-1167.
186. Saiki RK et al. Primer-directed enzymatic amplification of a DNA with a thermostable DNA polymerase. Science 1988; 239: 487-491.
187. Stroebel AB et al. Serological diagnosis of bone and joint tuberculosis by an enzyme-linked immunosorbent assay. J Infect Dis 1992; 146: 280-283.
188. Berk RH et al. Detection of Mycobacterium tuberculosis in formaldehyde solution-fixed, paraffin-embedded tissue by polymerase chain reaction in pott's disease. Spine 1996; 21: 1991-1995.
189. Davies PDO, Girling DJ, Grange JM. Tuberculosis. In: Weatherall DJ, Ledingham JGG, Warrell DA (eds). Section 7. Infection; Oxford Textbook of Medicine, 3rd edn. Oxford University Press: Oxford, New York, Tokyo 1996, pp 638-660.