| Percutaneous management of complications of tuberculous spondylodiscitis: short- to medium-term results. | |
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MedLine Citation:
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PMID: 19554419 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: Psoas abscesses are the most frequent complication of tuberculosis with skeletal involvement. The aim of this paper is to report our experience with the systematic application of percutaneous drainage to tuberculous psoas abscesses. MATERIALS AND METHODS: Between January 1997 and December 2005, 23 patients (14 men and nine women; age range 21-48 years), after a previous study with computed tomography (CT) and/or magnetic resonance (MR) imaging, underwent percutaneous drainage of a tuberculous fluid collection in the psoas muscles. Follow-up consisted of monthly clinical and laboratory assessment, and plain chest radiography and spinal CT every 6-12 months. RESULTS: Spondylodiscitis involved the thoracolumbar spine. Fluid collections were bilateral in 14 cases and communicating in ten of these. Maximum transverse diameter was 7 cm, whereas longitudinal diameter was 14 cm. Placement of the drainage catheter was successful in all cases, and the catheter was left in place for 5-36 (mean 18.4) days. Symptom regression occurred immediately after drainage of the fluid collection. The drainage procedure was curative in 100% of cases. Dislodgement of the drainage catheter occurred in two cases as a result of excessive traction during dressing removal. CONCLUSIONS: A serious complication of bone tuberculosis, psoas abscesses, can be effectively treated by percutaneous drainage, leading to immediate pain resolution. The drainage catheter requires daily monitoring to identify when it can be safely removed without risk of recurrence. |
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Authors:
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S Pieri; P Agresti; A M Altieri; P Ialongo; A Cortese; M G Alma; L de' Medici |
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Publication Detail:
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Type: Journal Article Date: 2009-06-25 |
Journal Detail:
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Title: La Radiologia medica Volume: 114 ISSN: 1826-6983 ISO Abbreviation: Radiol Med Publication Date: 2009 Sep |
Date Detail:
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Created Date: 2009-10-02 Completed Date: 2009-12-08 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 0177625 Medline TA: Radiol Med Country: Italy |
Other Details:
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Languages: eng; ita Pagination: 984-95 Citation Subset: IM |
Affiliation:
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Radiologia Vascolare ed Interventistica, Rome, Italy. stepieri@excite.it |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Contrast Media Discitis / complications* Drainage / methods* Female Gadolinium DTPA / diagnostic use Humans Lumbar Vertebrae Magnetic Resonance Imaging, Interventional Male Middle Aged Psoas Abscess / etiology*, therapy* Radiography, Interventional Thoracic Vertebrae Tomography, X-Ray Computed Treatment Outcome Triiodobenzoic Acids / diagnostic use Tuberculosis, Osteoarticular / complications* |
| Chemical | |
Reg. No./Substance:
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0/Contrast Media; 0/Triiodobenzoic Acids; 80529-93-7/Gadolinium DTPA; 87771-40-2/ioversol |
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