Spinal Infections — Pyogenic vs TB
Pyogenic: acute pain, fever, rapid neuro deficit; disc involvement early. TB: insidious course, night sweats, cold abscess, vertebral collapse, gibbus deformity. MRI: pyogenic—disc + endplates; TB—paradiscal, large abscesses, skip lesions. Management: pyogenic—IV antibiotics, drainage; TB—ATT + bracing, surgery for neuro deficit/instability. Complications: kyphotic deformity, chronic pain, neuro sequelae.
Practised by MCQ
10What is the most common organism responsible for pyogenic vertebral osteomyelitis?
mcqWhich feature is characteristic of tuberculous spondylitis (Pott disease)?
mcqIn pyogenic vertebral osteomyelitis, which imaging modality is preferred for early diagnosis?
mcqWhat is the typical clinical presentation of a patient with tuberculous spondylitis?
mcqWhat is the most common spinal level affected in pyogenic vertebral osteomyelitis?
mcqWhich of the following is a typical feature of pyogenic vertebral osteomyelitis on MRI?
mcqWhat initial management is recommended for pyogenic vertebral osteomyelitis?
mcqWhich of the following is a potential complication of tuberculous spondylitis?
mcqWhich blood test finding is typically seen in tuberculous spondylitis?
mcqWhat is the treatment approach for tuberculous spondylitis with neurological deficits?