1- General:
– Spinal tuberculosis is the most common location of osteoarticular tuberculosis
– There are two forms: spondylitis (Pott’s disease) and spondylitis (without involvement of intervertebral discs).
– The Pott’s disease is characterized by the achievement of the vertebral disc 2 adjacent vertebrae.
– Tuberculous spondylitis is a tuberculous osteomyelitis of the vertebral body and / or the posterior arch that respects the intervertebral disc
– Form the most classic of Pott’s disease: spinal damage cyphosante, abscesses, paraplegia
– Locations: the lumbar location represents over 80% of cases.
2- Clinic:
– Usually gradual beginning; rarely acute
– The main symptom is back pain (90% of cases); rachialgia is mechanical schedule and gradually increases in intensity
– General signs are inconsistent (50% of cases)
– Neurological signs are frequent, of varying severity: spinal cord compression is fairly common
– Other: spinal stiffness, spinal kyphosis
3- Imagery:
– The earliest radiological sign is the pinching of the intervertebral disc
– The second sign is the achievement of the endplates (blurred, eroded erased)
– After reaching the vertebral bodies sometimes geodes mirror and intraosseous receivers
– The perilesional sclerosis is typically mild or absent which is in chronic spondylitis framework is suggestive of tuberculous
– Predominantly anterior osteolysis can result in vertebral wedge -> kyphosis
– The prevertebral abscesses => aspect time or bird nests
– Paraspinal abscess (almost constant TDM)
– Epidural (MRI)
– Psoas abscess
