Pott's disease imaging findings
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Imaging Findings
- Radiographs of the spine
- Radiographic changes associated with Pott disease present relatively late. The following are radiographic changes characteristic of spinal tuberculosis on plain radiography:
- Lytic destruction of anterior portion of vertebral body
- Increased anterior wedging
- Collapse of vertebral body
- Reactive sclerosis on a progressive lytic process
- Enlarged psoas shadow with or without calcification
- Additional radiographic findings may include the following:
- Vertebral end plates are osteoporotic.
- Intervertebral disks may be shrunk or destroyed.
- Vertebral bodies show variable degrees of destruction.
- Fusiform paravertebral shadows suggest abscess formation.
- Bone lesions may occur at more than one level.
- CT of the spine